Organization Active NPI

Noah Reiss MD PC

  • Allergy Physician
  • Scotia, NY
National Provider Identifier
1598883977
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
182615 Issued in NY
Legal business name
NOAH REISS MD PC
Practice address
207 Mohawk Ave Ste 220
Scotia, NY 12302-2150
Phone
(518) 393-8898
Fax
(518) 388-9911
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Noah Reiss, MDNPI 1720061336
Title
President
Phone
(518) 393-8898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207KA0200X 182615 NY Primary

Addresses

Primary practice location

207 Mohawk Ave Ste 220
Scotia, NY 12302-2150

Mailing address

207 Mohawk Ave Ste 220
Scotia, NY 12302-2150
Phone (518) 393-8898

Other practice location 1

375 Bay Rd Ste 101
Queensbury, NY 12804-3010
Phone (518) 793-4910

Other practice location 2

5010 State Highway 30
Amsterdam, NY 12010-7532
Phone (518) 843-4086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051114000218 NY Part B Supplier - Clinic/Group Practice 4385663988 Receives reassigned benefits from 1 practitioner
Practice locations: Queensbury, NY; Amsterdam, NY; Scotia, NY

National Provider Directory

National Provider Directory

Locations

4456 State Highway 30
Amsterdam, NY 12010
Phone (518) 843-4086

207 Mohawk Ave
Ste 220
Scotia, NY 12302
Phone (518) 393-8898

207 Mohawk Ave
#220
Scotia, NY 12302
Phone (518) 393-8898

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1598883977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MOHAWK AVE STE 220",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123022150",
            "telephone_number": "518-393-8898",
            "fax_number": "518-388-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MOHAWK AVE STE 220",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123022150",
            "telephone_number": "518-393-8898",
            "fax_number": "518-388-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Bay Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128043010",
            "country_code": "US",
            "telephone_number": "518-793-4910",
            "fax_number": "518-388-9911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5010 State Highway 30",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "120107532",
            "country_code": "US",
            "telephone_number": "518-843-4086",
            "fax_number": "518-388-9911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOAH REISS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "REISS",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-393-8898",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "182615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.