Manuel Andres Merida Reyes, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

335092 Issued in NY

Practice address

1000 Montauk Hwy
West Islip, NY 11795-4927

Phone

(631) 376-4163

NPI assigned

Jul 27, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1760155733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 ROCKAWAY AVENUE",
            "address_2": "BUILDING W4, UNIT 478",
            "city": "OCEANSISE",
            "state": "NY",
            "postal_code": "11572",
            "telephone_number": "312-823-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954927",
            "telephone_number": "631-376-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIDA REYES",
        "first_name": "MANUEL",
        "middle_name": "ANDRES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "335092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Mary Melito, LMSW
• Julia Meller
• Diane H Menier, RPAC
• Rachel Victoria Mercorella Regensburg, PMHNP
• Nicole Marie Merendino
• Nikol Metaxa Rozenfeld, MA, NCC, MHC-LP
• Bonnie Metzger, PA
• Helen G Meyers, PHD
• Susan Marie Miale, DPT, PCS
• Jessica Renee Mianulli

• Gynecology Physician in West Islip, NY
• Providers in West Islip, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.

Verify at the official NPI Registry.