Ponciano L. Reyes, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

217770 Issued in NY

Practice address

19 Baker Ave
Suite 100
Poughkeepsie, NY 12601-1359

Phone

(845) 454-1942

Fax

(845) 452-4638

NPI assigned

Dec 1, 2006

Last updated

Dec 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1427126051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BAKER AVE",
            "address_2": "SUITE 100",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011359",
            "telephone_number": "845-454-1942",
            "fax_number": "845-452-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BAKER AVE",
            "address_2": "SUITE 100",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011359",
            "telephone_number": "845-454-1942",
            "fax_number": "845-452-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "PONCIANO",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "217770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02498608",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Restoration Medical Transportation
• Jeneisha Reuben
• Sandra Elise Rexhouse, APRN;BC
• Cristina Reyeros, MS
• Lucinda Reyes
• Trisha Marie Reyes, FNP
• Jessica Reynolds
• Kim A Rhoades, RPH.
• Debra Rhodes
• Danielle Riccardulli

• Hematology & Oncology Physician in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Hematology & Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.