Individual provider Active NPI

Maura Reinblatt, MD

  • Plastic Surgery Physician
  • White Plains, NY
National Provider Identifier
1407014301
Registry record updated Dec 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
231498 Issued in NY
Practice address
12 Greenridge Ave
#202
White Plains, NY 10605-1238
Phone
(914) 331-0070
Fax
(646) 472-5777
NPI assigned
May 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2016

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 231498 NY
Plastic Surgery Physician 208200000X D67928 MD
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X D67928 MD
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X D67928 MD
Surgery Physician 208600000X D67928 MD
Plastic and Reconstructive Surgery Physician 2086S0122X D67928 MD
Surgical Oncology Physician 2086X0206X D67928 MD
Plastic Surgery Physician 208200000X 231498 NY Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 231498 NY
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 231498 NY
Plastic and Reconstructive Surgery Physician 2086S0122X 231498 NY
Surgical Oncology Physician 2086X0206X 231498 NY

Addresses

Primary practice location

12 Greenridge Ave
#202
White Plains, NY 10605-1238

Mailing address

133 W Main St
Tarrytown, NY 10591-3674
Phone (914) 331-0070

Other identifiers 4

IdentifierTypeStateIssuer
30136869OtherPAAMERIHEALTH MERCY - WMG
2749235OtherPAHIGHMARK BLUE SHIELD
1615962OtherPAGATEWAY
419202OtherPAUPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231498NYMDPlastic Surgery Physician
D67928MDMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Surgery CurrentSince Aug 1, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Maura Reinblatt, M.D., P.C. Plastic Surgery Past Accepting new patients

Locations

5 E 98th St
New York, NY 10029
Phone (212) 241-3986

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

155 White Plains Rd
Ste 105
Tarrytown, NY 10591
Phone (914) 366-6139

Interoperability endpoints

  • Direct secure messaging: maurareinblatt@136107.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482537600000",
    "number": "1407014301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W MAIN ST",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105913674",
            "telephone_number": "914-331-0070",
            "fax_number": "646-472-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GREENRIDGE AVE",
            "address_2": "#202",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051238",
            "telephone_number": "914-331-0070",
            "fax_number": "646-472-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINBLATT",
        "first_name": "MAURA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2016-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "231498",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D67928",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "MD",
            "license": "D67928",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MD",
            "license": "D67928",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D67928",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MD",
            "license": "D67928",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "MD",
            "license": "D67928",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "231498",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "NY",
            "license": "231498",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "NY",
            "license": "231498",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "231498",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "231498",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY - WMG",
            "identifier": "30136869",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2749235",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1615962",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "419202",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.