Active NPI
Patrick Elliot Reiss, NCC
- Counselor
- Piscataway, NJ
National Provider Identifier
1376435230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 37AC00891100
- Practice address
- 53 Canterbury CT
Piscataway, NJ 08854-6208 - Phone
- (908) 421-0842
- NPI assigned
- Jul 16, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1738206 | ||
| Counselor | 101Y00000X | 37AC00891100 | NJ | Primary |
Addresses
Primary practice location
53 Canterbury CT
Piscataway, NJ 08854-6208
Mailing address
53 Canterbury CT
Piscataway, NJ 08854-6208
Phone (908) 421-0842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00891100 | NJ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1376435230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 CANTERBURY CT",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088546208",
"telephone_number": "908-421-0842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 CANTERBURY CT",
"city": "PISCATAWAY",
"state": "NJ",
"postal_code": "088546208",
"telephone_number": "908-421-0842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REISS",
"first_name": "PATRICK",
"middle_name": "ELLIOT",
"credential": "NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-16",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": "1738206",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37AC00891100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Piscataway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.