Active NPI
Reesha Patel
- Plastic Surgery Physician
- New York, NY
National Provider Identifier
1730848052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 25MP00671600
- Practice address
- 260 E 67TH St
New York, NY 10065-6212 - Phone
- (212) 629-2000
- NPI assigned
- Dec 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 02774301 | NY | |
| Plastic Surgery Physician | 208200000X | 25MP00671600 | NJ | Primary |
Addresses
Primary practice location
260 E 67TH St
New York, NY 10065-6212
Mailing address
14 Skyline Dr
Randolph, NJ 07869-2156
Phone (734) 674-7586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02774301 | NY | MD | Obstetrics & Gynecology Physician |
| 25MP00671600 | NJ | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethpage Medical, PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
260 E 67th St
New York, NY 10065
Phone (212) 629-2000
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.
-
- Obstetrics & Gynecology Physician
- Garden City, NY
- NPI 1205074739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753056000000",
"number": "1730848052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SKYLINE DR",
"city": "RANDOLPH",
"state": "NJ",
"postal_code": "078692156",
"telephone_number": "734-674-7586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 E 67TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656212",
"telephone_number": "212-629-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "REESHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-14",
"last_updated": "2025-07-21",
"certification_date": "2025-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "02774301",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NJ",
"license": "25MP00671600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.