Wesley Beth Reiss D O P C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

159835-1 Issued in NY

Legal business name

WESLEY BETH REISS D O P C

Practice address

14 W Neck Rd
Huntington, NY 11743-2619

Phone

(631) 425-6180

Fax

(516) 797-7370

NPI assigned

Dec 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Wesley Beth Reiss, D.O.NPI 1063513018

Title

Owner

Phone

(631) 425-6180

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wesley Beth Reiss, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Huntington, NY
  • NPI 1063513018
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1740558329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 N OAK ST",
            "city": "NORTH MASSAPEQUA",
            "state": "NY",
            "postal_code": "117583046",
            "telephone_number": "631-425-6180",
            "fax_number": "516-797-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W NECK RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432619",
            "telephone_number": "631-425-6180",
            "fax_number": "516-797-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY BETH REISS D O P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "REISS",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-425-6180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "159835-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "159835-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Wells, LPN
• Leslie Rand Welsch
• Oliwia Welton, PHARMD
• Lauren Wendelken
• Tracy Wenzel, MHC
• West Carver Medical Assoc
• West Hills Chiropractic Pain PC
• Sherrie Wharton, OTR/L
• Shannon Faith Wichman, MS OTR/L
• William a Healy III MD PC

• Family Medicine Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.