Active NPI
Noah Reiss MD PC
- Allergy Physician
- Queensbury, NY
National Provider Identifier
1689848954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 182615
- Legal business name
- NOAH REISS MD PC
- Practice address
- 319 Bay Rd
Queensbury, NY 12804 - Phone
- (518) 793-4910
- Fax
- (518) 793-4709
- NPI assigned
- Apr 17, 2008
- Last updated
- Apr 17, 2008
- Organization subpart
- Yes
- Parent organization
- NOAH REISS MD PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Noah Reiss, MD
- Title
- President
- Phone
- (518) 393-8629
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 182615 | NY | Primary |
| Allergy Physician | 207KA0200X | 25MA07912700 | NJ |
Addresses
Primary practice location
319 Bay Rd
Queensbury, NY 12804
Mailing address
108 N Ballston Ave
Scotia, NY 12302
Phone (518) 393-8629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BA0695 | Other | NY | MEDICARE GROUP |
National Provider Directory
National Provider Directory- Tax ID family
- Noah Reiss MD PC
- Part of
- Noah Reiss MD PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Allergy & Immunology Physician
- Amsterdam, NY
- NPI 1700147428
-
- Allergy & Immunology Physician
- Kingston, NY
- NPI 1922368786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208390400000",
"number": "1689848954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 N BALLSTON AVE",
"city": "SCOTIA",
"state": "NY",
"postal_code": "12302",
"telephone_number": "518-393-8629",
"fax_number": "518-393-8606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 BAY RD",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "12804",
"telephone_number": "518-793-4910",
"fax_number": "518-793-4709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOAH REISS MD PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NOAH REISS MD PC",
"enumeration_date": "2008-04-17",
"last_updated": "2008-04-17",
"status": "A",
"authorized_official_last_name": "REISS",
"authorized_official_first_name": "NOAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "518-393-8629",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "NY",
"license": "182615",
"primary": true
},
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "NJ",
"license": "25MA07912700",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "BA0695",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.