Individual provider Active NPI

Steven Reisman

  • Specialist
  • New York, NY
National Provider Identifier
1699791665
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1406241 Issued in NY
Practice address
115 East 86TH Street
New York Cardiac Diagnostic Ctr- Ground Floor
New York, NY 10458
Phone
(212) 860-0796
Fax
(212) 860-1946
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1406241 NY Primary

Addresses

Primary practice location

115 East 86TH Street
New York Cardiac Diagnostic Ctr- Ground Floor
New York, NY 10458

Mailing address

115 E 86TH St
New York Cardiac Diagnostic Ctr- Ground Floor
New York, NY 10028-1057
Phone (212) 860-0796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301000683 NY Practitioner - Cardiovascular Disease (Cardiology) 8820985369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Wayne State University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 E 86TH St
New York, NY 10028-1057
Phone (212) 860-0796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1406241NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Sar Medical Care PLLC Specialist CurrentSince Jan 1, 2013 Accepting new patients

Locations

200 W 57th St
New York, NY 10019
Phone (212) 247-8100

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1699791665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 86TH ST",
            "address_2": "NEW YORK CARDIAC DIAGNOSTIC CTR- GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281057",
            "telephone_number": "212-860-0796",
            "fax_number": "212-860-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EAST 86TH STREET",
            "address_2": "NEW YORK CARDIAC DIAGNOSTIC CTR- GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "212-860-0796",
            "fax_number": "212-860-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISMAN",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1406241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.