Active NPI
Renee Faith Reich, DDS
- Oral and Maxillofacial Pathology Dentistry
- Flushing, NY
National Provider Identifier
1467550368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 045264
- Practice address
- 5631 141St St
Flushing, NY 11355-5042 - Phone
- (718) 670-1520
- Fax
- (718) 445-4147
- NPI assigned
- Sep 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 045264 | NY | Primary |
Addresses
Primary practice location
5631 141St St
Flushing, NY 11355-5042
Mailing address
370 E 76TH St
Apt B701
New York, NY 10021-2547
Phone (646) 838-9693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045264 | Other | NY | DENTAL LICENSE |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | rfr2001@direct.nyp.org | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045264 | NY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Newyork-Presbyterian-Queens | Current | Accepting new patients | |
| Newyork-Presbyterian/Queens | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Oral Pathology Laboratory, Inc. | Past | Accepting new patients |
Locations
17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021
50 E 69th St
New York, NY 10021
Phone (212) 570-4000
525 E 68th St
#223
New York, NY 10065
Phone (212) 746-5171
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 5
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.
-
- Cardiovascular Disease Physician
- Flushing, NY
- NPI 1013960962
-
- Surgery Physician
- New York, NY
- NPI 1669579017
-
- Skilled Nursing Facility
- Flushing, NY
- NPI 1689958779
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Clinical Medical Laboratory
- Flushing, NY
- NPI 1205999067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1467550368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 E 76TH ST",
"address_2": "APT B701",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212547",
"telephone_number": "646-838-9693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5631 141ST ST",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555042",
"telephone_number": "718-670-1520",
"fax_number": "718-445-4147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICH",
"first_name": "RENEE",
"middle_name": "FAITH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2024-07-22",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "NY",
"license": "045264",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "045264",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "5631 141st St",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "113555042",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "5631 141st St",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "113555042",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rfr2001@direct.nyp.org",
"affiliation": "N",
"endpointDescription": "Direct Messaging Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Messaging Address",
"address_1": "5631 141st St",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "113555042",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.