Active NPI
Reginald Rousseau, MD
- Pain Medicine (Anesthesiology) Physician
- Bay Shore, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 228851
- Practice address
- 340 Howells Rd
Bay Shore, NY 11706-5322 - Phone
- (833) 547-7463
- Fax
- (631) 248-5583
- NPI assigned
- Dec 20, 2005
- Last updated
- Apr 29, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 228851 | NY | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 228851 | NY | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 228851 | NY | Primary |
| Pain Medicine Physician | 208VP0000X | 228851 | NY | |
| Interventional Pain Medicine Physician | 208VP0014X | 228851 | NY |
Addresses
Primary practice location
340 Howells Rd
Bay Shore, NY 11706-5322
Mailing address
100 Motor Parkway
LL8
Hauppauge, NY 11788
Phone (833) 547-7463
Other practice location 1
221 Jericho Tpke
Syosset, NY 11791-4515
Phone (516) 496-6447
Other practice location 2
221 Jericho Tpke
Syosset, NY 11791-4515
Phone (516) 496-6447
Other practice location 3
1175 Montauk Hwy Ste 6
West Islip, NY 11795
Phone (631) 482-9977
Other practice location 4
4681 Veterans Memorial Hwy
Holbrook, NY 11741-4515
Phone (833) 547-7463
Other practice location 5
100 E Main St
Huntington, NY 11743-2847
Phone (833) 547-7463
Other practice location 6
1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (833) 547-7463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02717366 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
400 Montauk Hwy
Suite 102
West Islip, NY 11795-4429
Phone (631) 533-2723
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.78 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 72.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228851 | NY | MD | Critical Care Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadowbrook Medical Associates | Anesthesiology | Current | Accepting new patients |
| Gastrointestinal Care of Long Island PLLC | Current | Accepting new patients | |
| Reginald M Rousseau MD PC | Anesthesiology | Current | Accepting new patients |
| Rancocas Anesthesiology, P.a. | Past | Accepting new patients | |
| Precision Radiation Oncology PC | Past | Accepting new patients | |
| Atlanticare Regional Medical Center | Anesthesiology | Past | Accepting new patients |
| Anesthesia Patient Services, PLLC | Anesthesiology | Past | Accepting new patients |
| Cape Atlantic Radiation Oncology PC | Past | Accepting new patients |
Locations
340 Howells Rd
Bay Shore, NY 11706
Phone (631) 666-1956
340 Howells Rd
Ste 2B
Bay Shore, NY 11706
Phone (631) 310-5071
801 Avenue N
Brooklyn, NY 11230
Phone (718) 627-6800
55 N Main St
Freeport, NY 11520
Phone (516) 352-8300
233 E Shore Rd
Ste 101
Great Neck, NY 11023
Phone (516) 480-2444
100 Motor Pkwy
Ste LL8
Hauppauge, NY 11788
4681 Veterans Memorial Hwy
Holbrook, NY 11741
Phone (631) 482-9977
187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523
187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523
5030 Broadway
New York, NY 10034
Phone (212) 567-9800
974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700
136 Sagamore Rd
Tuckahoe, NY 10707
Phone (914) 337-6400
1488 Wantagh Ave
Wantagh, NY 11793
Phone (516) 785-1203
2155 Wantagh Ave
Wantagh, NY 11793
Phone (516) 785-1200
1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689
1175 Montauk Hwy
Ste 6
West Islip, NY 11795
Phone (631) 422-5371
865 Merrick Ave
Ste 150N
Westbury, NY 11590
Phone (516) 542-3636
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Interventional Pain Medicine Physician
- Bay Shore, NY
- NPI 1568047967
Anesthesiology
-
dba Allied Digestive Health Medical Group of New York
- Gastroenterology Physician
- Massapequa, NY
- NPI 1265571863
-
- Anesthesiology Physician
- Westbury, NY
- NPI 1114187986
-
- Anesthesiology Physician
- West Islip, NY
- NPI 1619641990
-
dba ARMC Anesthesiologists
- Anesthesiology Physician
- Pomona, NJ
- NPI 1710930102
-
- Radiation Oncology Physician
- Linwood, NJ
- NPI 1770742041
-
- Radiation Oncology Physician
- Pomono, NJ
- NPI 1467492736
-
- Specialist
- Mount Laurel, NJ
- NPI 1427076553
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Islip, NY
- NPI 1902865355
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1306822523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MOTOR PARKWAY",
"address_2": "LL8",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "11788",
"telephone_number": "833-547-7463",
"fax_number": "631-248-5583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 HOWELLS RD",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117065322",
"telephone_number": "833-547-7463",
"fax_number": "631-248-5583"
}
],
"practiceLocations": [
{
"address_1": "221 Jericho Tpke",
"address_purpose": "LOCATION",
"city": "Syosset",
"state": "NY",
"postal_code": "117914515",
"country_code": "US",
"telephone_number": "516-496-6447",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "221 Jericho Tpke",
"address_purpose": "LOCATION",
"city": "Syosset",
"state": "NY",
"postal_code": "117914515",
"country_code": "US",
"telephone_number": "516-496-6447",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1175 Montauk Hwy Ste 6",
"address_purpose": "LOCATION",
"city": "West Islip",
"state": "NY",
"postal_code": "11795",
"country_code": "US",
"telephone_number": "631-482-9977",
"fax_number": "631-422-4169",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4681 Veterans Memorial Hwy",
"address_purpose": "LOCATION",
"city": "Holbrook",
"state": "NY",
"postal_code": "117414515",
"country_code": "US",
"telephone_number": "833-547-7463",
"fax_number": "631-248-5583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E Main St",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "NY",
"postal_code": "117432847",
"country_code": "US",
"telephone_number": "833-547-7463",
"fax_number": "631-248-5583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Montauk Hwy",
"address_purpose": "LOCATION",
"city": "West Islip",
"state": "NY",
"postal_code": "117954927",
"country_code": "US",
"telephone_number": "833-547-7463",
"fax_number": "631-248-5583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROUSSEAU",
"first_name": "REGINALD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "228851",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "NY",
"license": "228851",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "228851",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NY",
"license": "228851",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NY",
"license": "228851",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02717366",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.