Individual provider Active NPI

Jahanara Jahan Ara Reza, MD

  • Internal Medicine Physician
  • Newburgh, NY
National Provider Identifier
1447584222
Registry record updated Jun 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
263209 Issued in NY
Practice address
1200 Stony Brook CT
Newburgh, NY 12550
Phone
(845) 500-8405
Fax
(949) 553-3814
NPI assigned
Sep 25, 2009
Last updated
Jun 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2632091 NY
Internal Medicine Physician 207R00000X 263209 NY Primary
Hospitalist Physician 208M00000X 263209 NY

Addresses

Primary practice location

1200 Stony Brook CT
Newburgh, NY 12550

Mailing address

2 Brookside Dr W
Harriman, NY 10926-3018
Phone (845) 500-8405

Other identifiers 2

IdentifierTypeStateIssuer
048130128MedicaidNY
03417489MedicaidNY

Other names 1

  • Most Begum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120306000824 NY Practitioner - HospitalistPractitioner - Internal Medicine 4587823810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

67 E Main St
Washingtonville, NY 10992-1212
Phone (845) 496-8466

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2632091NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newburgh Physician Services PC Hospitalist CurrentSince Dec 7, 2016 Accepting new patients
Jahanara Reza MD PC Internal Medicine CurrentSince Feb 27, 2017 Accepting new patients
Critical Care Physician of New York PC CurrentSince Oct 8, 2017 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Oct 8, 2017 Accepting new patients
St. Luke's Cornwall Hospital Past Accepting new patients
Long Term Medical Services PC Internal Medicine Past Accepting new patients

Locations

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

67 E Main St
Washingtonvle, NY 10992
Phone (845) 496-8466

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527984000000",
    "number": "1447584222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BROOKSIDE DR W",
            "city": "HARRIMAN",
            "state": "NY",
            "postal_code": "109263018",
            "telephone_number": "845-500-8405",
            "fax_number": "949-553-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STONY BROOK CT",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-500-8405",
            "fax_number": "949-553-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZA",
        "first_name": "JAHANARA",
        "middle_name": "JAHAN ARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2018-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2632091",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "263209",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "263209",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048130128",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03417489",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOST",
            "last_name": "BEGUM",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.