Individual provider Active NPI

Noah Reiss, MD

  • Allergy Physician
  • Scotia, NY
National Provider Identifier
1720061336
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
182615 Issued in NY
Practice address
207 Mohawk Ave Ste 220
Scotia, NY 12302-2150
Phone
(518) 393-8898
Fax
(518) 393-8606
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 25MA07912700 NJ
Allergy Physician 207KA0200X 182615 NY Primary

Addresses

Primary practice location

207 Mohawk Ave Ste 220
Scotia, NY 12302-2150

Mailing address

207 Mohawk Ave Ste 220
Scotia, NY 12302-2150
Phone (518) 393-8898

Other practice location 1

5010 State Highway 30 Ste 105
Amsterdam, NY 12010-7532
Phone (518) 843-4086

Other practice location 2

375 Bay Rd Ste 101
Queensbury, NY 12804-3010
Phone (518) 793-4910

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
I20040405001739 NY Practitioner - Allergy/Immunology 0840283958 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 Mohawk Ave
Suite 220
Scotia, NY 12302-2150
Phone (518) 393-8898

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07912700NJMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of the Hudson Valley CurrentSince Oct 1, 2015 Accepting new patients
Noah Reiss MD PC Allergy CurrentSince Jun 1, 1994 Accepting new patients
Middletown Medical PC CurrentSince Sep 1, 2006 Accepting new patients
Middletown Medical PC Allergy CurrentSince Sep 1, 2006 Accepting new patients
Mid-Hudson Family Health Institute Past Accepting new patients
Hudson Valley Neurosurgical Associates, LLC PastSince Oct 1, 2016 Accepting new patients

Locations

5010 State Highway 30
Ste 105
Amsterdam, NY 12010
Phone (518) 842-3800

5010 State Highway 30
Amsterdam, NY 12010
Phone (518) 842-0017

4456 State Highway 30
Amsterdam, NY 12010
Phone (518) 843-4086

360 Washington Ave
Kingston, NY 12401
Phone (845) 338-7140

111 Maltese Dr
Middletown, NY 10940

375 Bay Rd
Ste 101
Queensbury, NY 12804
Phone (518) 793-4910

319 Bay Rd
Queensbury, NY 12804
Phone (518) 792-2181

207 Mohawk Ave
Ste 220
Scotia, NY 12302
Phone (518) 393-8898

207 Mohawk Ave
#220
Scotia, NY 12302
Phone (518) 393-8898

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1720061336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MOHAWK AVE STE 220",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123022150",
            "telephone_number": "518-393-8898",
            "fax_number": "518-393-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MOHAWK AVE STE 220",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123022150",
            "telephone_number": "518-393-8898",
            "fax_number": "518-393-8606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5010 State Highway 30 Ste 105",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "120107532",
            "country_code": "US",
            "telephone_number": "518-843-4086",
            "fax_number": "518-843-0977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 Bay Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128043010",
            "country_code": "US",
            "telephone_number": "518-793-4910",
            "fax_number": "518-793-4709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISS",
        "first_name": "NOAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NJ",
            "license": "25MA07912700",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NY",
            "license": "182615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotia, NY

Sources for this page

Verify at the official NPI Registry.