Mark Benedict Reifenstein, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

184059 Issued in NY

Practice address

1770 Long Pond Road
Suite 103
Rochester, NY 14606

Phone

(585) 247-1777

Fax

(585) 247-1778

NPI assigned

Jun 7, 2006

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

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1801836770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 LONG POND ROAD",
            "address_2": "SUITE 103",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14606",
            "telephone_number": "585-247-1777",
            "fax_number": "585-247-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 LONG POND ROAD",
            "address_2": "SUITE 103",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14606",
            "telephone_number": "585-247-1777",
            "fax_number": "585-247-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFENSTEIN",
        "first_name": "MARK",
        "middle_name": "BENEDICT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "184059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "1840594WCFP",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01304443",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Reidmiller, RN
• Adrien W Reidy, PT, DPT
• James P Reidy, MD
• M. Bernadette Reidy, PH.D
• Krysta Reifenstein, RN
• Kevin D. Reilly
• Maggie E Reilly, PA
• Patrick Reilly
• Sharon Ann Reilly, RN, BSN, IBCLC
• Kristin Reindel, PHARMD

• Family Medicine Physician in Rochester, NY
• Providers in Rochester, 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 Oct 8, 2021; 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.

Verify at the official NPI Registry.