Gregorio Reyes, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

111543 Issued in NY

Practice address

10 Medical PLZ
Ste 205
Glen Cove, NY 11542-2101

Phone

(516) 671-6900

Fax

(516) 671-6901

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1376549865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLZ",
            "address_2": "STE 205",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422101",
            "telephone_number": "516-671-6900",
            "fax_number": "516-671-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEDICAL PLZ",
            "address_2": "STE 205",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422101",
            "telephone_number": "516-671-6900",
            "fax_number": "516-671-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "GREGORIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "111543",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "111543",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "111543",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00200904",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Reiter, MD
• Tracy K Rendano, MD
• Kathleen M Restivo, MD
• Lisa Marie Resto, MS, BCBA
• Restorative Health Ministries Int PR TR
• Riaz Medical Care PLLC
• Fahad Riaz
• Marie Silvana Ribisi, PHARMACIST/ PHARM.D.
• Richard Rise Physician PC
• Risewell Community Services

• Geriatric Medicine (Internal Medicine) Physician in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.