Individual provider Active NPI

Reynaldo Manubay Punsal, MD

  • Emergency Medicine Physician
  • Huntington Station, NY
National Provider Identifier
1316053259
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
154892 Issued in NY
Practice address
247 Walt Whitman Rd
Huntington Station, NY 11746-4119
Phone
(631) 923-2450
Fax
(631) 923-2451
NPI assigned
Aug 22, 2006
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 154892 NY Primary

Addresses

Primary practice location

247 Walt Whitman Rd
Huntington Station, NY 11746-4119

Mailing address

73 Joyce Rd
Plainview, NY 11803-3939
Phone (516) 225-5518

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930001190 NY Practitioner - Emergency Medicine 4082683594 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
154892NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Optum Urgent Care, PLLC CurrentSince Mar 15, 2019 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
JJ Moreira MD PC Past Accepting new patients
Jamaica Hospital Past Accepting new patients
Franklin Hospital Past Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

247 Walt Whitman Rd
Huntington Station, NY 11746
Phone (631) 923-2450

555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

300 Community Dr
Manhasset, NY 11030

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

900 Franklin Ave
Valley Stream, NY 11580
Phone (516) 256-6000

Philadelphia, PA 19195

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1316053259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 JOYCE RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033939",
            "telephone_number": "516-225-5518",
            "fax_number": "516-625-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 WALT WHITMAN RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464119",
            "telephone_number": "631-923-2450",
            "fax_number": "631-923-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNSAL",
        "first_name": "REYNALDO",
        "middle_name": "MANUBAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "154892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

Verify at the official NPI Registry.