Active NPI
Maura Reinblatt, MD
- Plastic Surgery Physician
- White Plains, NY
National Provider Identifier
1407014301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 231498
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30136869 | Other | PA | AMERIHEALTH MERCY - WMG |
| 2749235 | Other | PA | HIGHMARK BLUE SHIELD |
| 1615962 | Other | PA | GATEWAY |
| 419202 | Other | PA | UPMC |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 231498 | NY | MD | Plastic Surgery Physician |
| D67928 | MD | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Surgery | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | 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
- 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.
-
- Plastic Surgery Physician
- White Plains, NY
- NPI 1114464112
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Surgery Physician
- New York, NY
- NPI 1770823551
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.