Active NPI
Thomas Reisman, MD
- Internal Medicine Physician
- Hicksville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 181258
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01164034 | Medicaid | NY |
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
Enrollment records 1
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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181258 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart and Health PLLC | Current | 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.
-
- Specialist
- North Babylon, NY
- NPI 1477725208
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.