Massiel Josefina Bautista Reyes, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

79-01 Broadway Elmhurst
Nyc Health Hospital Elmhurst Pediatric Department
New York, NY 11373

Phone

(718) 334-2156

NPI assigned

May 1, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1619766284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79-01 BROADWAY ELMHURST",
            "address_2": "NYC HEALTH HOSPITAL ELMHURST PEDIATRIC DEPARTMENT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-334-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-01 BROADWAY ELMHURST",
            "address_2": "NYC HEALTH HOSPITAL ELMHURST PEDIATRIC DEPARTMENT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-334-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA REYES",
        "first_name": "MASSIEL",
        "middle_name": "JOSEFINA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura A Baur, M.D., M.A.
• Danielle Baurer
• Amanda Louise Bausch
• Bruce Bausk
• Margaret V. Bausman, LCSW
• Ma. Leah Cynthia Bautista-Quan, PT
• Alyssa Bautista, M.D.
• Basilio Nicolo Bautista III, MD
• Dalia Bautista, LCSW
• Edgar Gary Bautista, DDS

• Student in an Organized Health Care Education/Training Program in New York, NY
• Providers in New York, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.