NPIMap

Individual provider Active NPI

Edyta Skladzinska-Reyher, M.D.

  • Internal Medicine Physician
  • Putnam Valley, NY
National Provider Identifier
1477622439
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
215559 Issued in NY
Practice address
53 Peekskill Hollow Rd
Putnam Valley, NY 10579-3252
Phone
(845) 528-5700
Fax
(845) 528-0134
NPI assigned
Nov 6, 2006
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 215559 NY Primary

Addresses

Primary practice location

53 Peekskill Hollow Rd
Putnam Valley, NY 10579-3252

Mailing address

Waterside Professional Park Oregon Rd.
Suite 105
Putnam Valley, NY 10579
Phone (845) 526-2200

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address ess9035@direct.nyp.org Direct
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416001227 NY Practitioner - Internal Medicine 7214922475 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Oct 1, 2024 Accepting new patients
New York University Internal Medicine CurrentSince Dec 1, 2015 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Oct 1, 2018 Accepting new patients
New York University Internal Medicine CurrentSince Dec 1, 2015 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Oct 1, 2018 Accepting new patients
Optum Medical Care, P.C. CurrentSince Oct 1, 2024 Accepting new patients
Treetops Rehabilitation & Care Center LLC Past Accepting new patients
Nephrology Associates of Westchester & Putnam PC PastSince Feb 26, 2023 Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

667 Stoneleigh Ave
Ste 201
Carmel, NY 10512
Phone (845) 278-5223

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

53 Peekskill Hollow Rd
Putnam Valley, NY 10579
Phone (845) 528-5700

Philadelphia, PA 19195

Networks

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

Interoperability endpoints

  • Direct secure messaging: ess9035@direct.nyp.org

Organizations & group practices 9

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 5

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1477622439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WATERSIDE PROFESSIONAL PARK OREGON RD.",
            "address_2": "SUITE 105",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "10579",
            "telephone_number": "845-526-2200",
            "fax_number": "845-526-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 PEEKSKILL HOLLOW RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793252",
            "telephone_number": "845-528-5700",
            "fax_number": "845-528-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLADZINSKA-REYHER",
        "first_name": "EDYTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "215559",
            "primary": true
        }
    ],
    "identifiers": [],
    "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": "Other",
            "address_1": "53 Peekskill Hollow Rd",
            "city": "Putnam Valley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105793252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ess9035@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct address",
            "address_1": "53 Peekskill Hollow Rd",
            "city": "Putnam Valley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105793252",
            "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": "53 Peekskill Hollow Rd",
            "city": "Putnam Valley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105793252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Putnam Valley, NY

Sources for this page

Verify at the official NPI Registry.