Individual provider Active NPI

Thomas Reisman, MD

  • Internal Medicine Physician
  • Hicksville, NY
National Provider Identifier
1720028756
Registry record updated Oct 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
181258 Issued in NY
Practice address
350 S Broadway
Hicksville, NY 11801-5006
Phone
(516) 938-0100
Fax
(516) 938-0120
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 181258 NY Primary

Addresses

Primary practice location

350 S Broadway
Hicksville, NY 11801-5006

Mailing address

1000 Zeckendorf Blvd
Garden City, NY 11530-2133
Phone (516) 542-6880

Other identifiers 1

IdentifierTypeStateIssuer
01164034MedicaidNY

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
I20110119000026 NY Practitioner - Internal Medicine 0143419432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Health PLLCGroup PAC ID 1557434131, 18 clinicians

Practice addresses (Care Compare)

1070 Old Country Rd
Plainview, NY 11803-4918
Phone (516) 364-8600

1350 Deer Park Ave
North Babylon, NY 11703-1619
Phone (631) 482-1355

Merit-based Incentive Payment System (MIPS)

Final score
94.74 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
181258NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Health PLLC CurrentSince Jan 15, 2013 Accepting new patients

Locations

3650 Route 112
Coram, NY 11727
Phone (631) 320-3200

1 Center Ln
Levittown, NY 11756
Phone (516) 454-6060

6175 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 504-2100

281 Middle Country Rd
Middle Island, NY 11953
Phone (631) 345-6670

1350 Deer Park Ave
North Babylon, NY 11703
Phone (631) 422-3200

1070 Old Country Rd
Plainview, NY 11803
Phone (516) 364-8600

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318032000000",
    "number": "1720028756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ZECKENDORF BLVD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302133",
            "telephone_number": "516-542-6880",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015006",
            "telephone_number": "516-938-0100",
            "fax_number": "516-938-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISMAN",
        "first_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "181258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01164034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.