Individual provider Active NPI

Jeffrey S Rein, DDS

  • General Practice Dentistry
  • Williston Park, NY
National Provider Identifier
1750384756
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
036719 Issued in NY
Practice address
101 Hillside Ave
Suite a
Williston Park, NY 11596-2310
Phone
(516) 741-6202
Fax
(516) 741-9620
NPI assigned
May 23, 2005
Last updated
Oct 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 036719 NY Primary

Addresses

Primary practice location

101 Hillside Ave
Suite a
Williston Park, NY 11596-2310

Mailing address

101 Hillside Ave
Suite a
Williston Park, NY 11596-2310
Phone (516) 741-6202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150612000558 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6901965177
O20100930086131 NY DME Supplier - Oral Surgery - Dentist 0840481230 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Williston Park, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Hillside Ave
Williston Park, NY 11596-2347

221 Old Dixie Hwy
Suite 5
Tequesta, FL 33469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1750384756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HILLSIDE AVE",
            "address_2": "SUITE A",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962310",
            "telephone_number": "516-741-6202",
            "fax_number": "516-741-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HILLSIDE AVE",
            "address_2": "SUITE A",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962310",
            "telephone_number": "516-741-6202",
            "fax_number": "516-741-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIN",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston Park, NY

Sources for this page

Verify at the official NPI Registry.