Individual provider Active NPI

John Reed, MD

  • Family Medicine Physician
  • New Windsor, NY
National Provider Identifier
1508817974
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
173173 Issued in NY
Practice address
575 Hudson Valley Ave
Suite 201
New Windsor, NY 12553-4747
Phone
(845) 220-2270
Fax
(845) 220-2277
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 173173 NY Primary

Addresses

Primary practice location

575 Hudson Valley Ave
Suite 201
New Windsor, NY 12553-4747

Mailing address

575 Hudson Valley Ave
Suite 201
New Windsor, NY 12553-4747
Phone (845) 220-2270

Other identifiers 1

IdentifierTypeStateIssuer
01069543MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address johncreed@wmchealth.cernerdirect.com

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
I20070529000227 NY Practitioner - Family Practice 3577520360 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
173173NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Dec 15, 2019 Accepting new patients
New Windsor Family Medicine, PLLC Current Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Dec 15, 2019 Accepting new patients
Mid-Hudson Family Health Institute Family Medicine Past Accepting new patients

Locations

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

575 Hudson Valley Ave
Ste 201
New Windsor, NY 12553
Phone (845) 220-2270

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Interoperability endpoints

  • Direct secure messaging: johncreed@wmchealth.cernerdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1508817974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 HUDSON VALLEY AVE",
            "address_2": "SUITE 201",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125534747",
            "telephone_number": "845-220-2270",
            "fax_number": "845-220-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 HUDSON VALLEY AVE",
            "address_2": "SUITE 201",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125534747",
            "telephone_number": "845-220-2270",
            "fax_number": "845-220-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "173173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01069543",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johncreed@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "575 Hudson Valley Ave",
            "address_2": "Suite 201",
            "city": "New Windsor",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125534747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

Verify at the official NPI Registry.