Guy Anthony Reale, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

03429 Issued in NY

Practice address

920 Winton Road South
Brighton Medical Center
Rochester, NY 14618-1634

Phone

(585) 442-1910

NPI assigned

Jun 6, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1497958730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WINTON ROAD SOUTH",
            "address_2": "BRIGHTON MEDICAL CENTER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181634",
            "telephone_number": "585-442-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 WINTON ROAD SOUTH",
            "address_2": "BRIGHTON MEDICAL CENTER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181634",
            "telephone_number": "585-442-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REALE",
        "first_name": "GUY",
        "middle_name": "ANTHONY",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "03429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00812611",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kaczinski Readlynn, M.D.
• Amanda Reagan, MSW
• Jennifer Colleen Reagan, RN
• Patrick M. Reagan, M.D.
• Amy Beth Realbuto, NP
• Vincent Francis Reale, M.D.
• Beth A Reali, OD
• William Robert Reamy, M.D.
• Brittany M Reaves, LPN
• Chaneisse Reaves

• Podiatrist in Rochester, NY
• Providers in Rochester, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.

Verify at the official NPI Registry.