Reema Maindiratta MD PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

203259 Issued in NY

Legal business name

REEMA MAINDIRATTA MD PC

Practice address

400 W Main St Ste 336
Babylon, NY 11702-3016

Phone

(631) 422-3675

Fax

(631) 422-3743

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Reema Maindiratta, M.D.NPI 1043466774

Title

President/Physician

Phone

(631) 422-3675

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reema Maindiratta, M.D.

  • Neurology Physician
  • Babylon, NY
  • NPI 1043466774
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558315531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 336",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023016",
            "telephone_number": "631-422-3675",
            "fax_number": "631-422-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 336",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023016",
            "telephone_number": "631-422-3675",
            "fax_number": "631-422-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEMA MAINDIRATTA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MAINDIRATTA",
        "authorized_official_first_name": "REEMA",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "631-422-3675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "203259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01766412",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rohit Rai, M.D.
• Lynn M Raimo, NP
• Carly Rainey
• Laura L Ramirez, NP
• Leticia Ramirez, AUD
• Dorene Ann Rehbein, LPN
• Amanda Jacqueline Reichardt, MS RDN CDN CPT
• Brianna Michelle Renda, ANP
• Suzanne Reuter, PAC
• Clare Marie Reynolds

• Neurology Physician in Babylon, NY
• Providers in Babylon, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.