Organization Active NPI

Noah Reiss MD PC

  • Allergy Physician
  • Queensbury, NY
National Provider Identifier
1689848954
Registry record updated Apr 17, 2008
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
319 Bay Rd
Queensbury, NY 12804
Phone
(518) 793-4910
Fax
(518) 793-4709
NPI assigned
Apr 17, 2008
Last updated
Apr 17, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
NOAH REISS MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
BA0695OtherNYMEDICARE GROUP

National Provider Directory

National Provider Directory
Tax ID family
Noah Reiss MD PC3 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.