Active NPI
Maria Reyes, MD
- Pediatrics Physician
- Middletown, NY
National Provider Identifier
1770758534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 268008
- Practice address
- 111 Maltese Dr
Middletown, NY 10940-2115 - Phone
- (845) 342-4774
- Fax
- (845) 343-8741
- NPI assigned
- Apr 23, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 268008 | NY | Primary |
Addresses
Primary practice location
111 Maltese Dr
Middletown, NY 10940-2115
Mailing address
111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03076859 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268008 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middletown Medical PC | Current | Accepting new patients | |
| Middletown Medical PC | Pediatrics | Current | Accepting new patients |
Locations
111 Maltese Dr
Middletown, NY 10940
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- mariafatima.reyes@mmpc.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Cardiac Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1174201529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1770758534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MALTESE DR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402115",
"telephone_number": "845-342-4774",
"fax_number": "845-343-8741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MALTESE DR",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402115",
"telephone_number": "845-342-4774",
"fax_number": "845-343-8741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MARIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "268008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03076859",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.