Active NPI
Ilene Michele Reeman, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1679642417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 180008-1
- Practice address
- 41 Central Park W
Suite 2
New York, NY 10023-6734 - Phone
- (212) 721-2430
- NPI assigned
- Nov 7, 2006
- Last updated
- Apr 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 180008-1 | NY | Primary |
Addresses
Primary practice location
41 Central Park W
Suite 2
New York, NY 10023-6734
Mailing address
41 Central Park W
Suite 2
New York, NY 10023-6734
Phone (212) 721-2430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 1, 2019 through Aug 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180008-1 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430092800000",
"number": "1679642417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 CENTRAL PARK W",
"address_2": "SUITE 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236734",
"telephone_number": "212-721-2430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 CENTRAL PARK W",
"address_2": "SUITE 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236734",
"telephone_number": "212-721-2430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEMAN",
"first_name": "ILENE",
"middle_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2015-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "180008-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.