Organization Active NPI

Malcolm D Reid

  • Specialist
  • New York, NY
National Provider Identifier
1811082480
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
175034 Issued in NY
Legal business name
MALCOLM D REID
Practice address
1000 Tenth Avenue
Suite 3B-20
New York, NY 10019
Phone
(212) 523-6607
Fax
(212) 523-8262
NPI assigned
Oct 3, 2006
Last updated
Feb 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Malcolm D Reid, M.D.NPI 1023287778
Title
Chairman of Rehab. Medicine Dept.
Phone
(212) 523-6595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 175034 NY Primary

Addresses

Primary practice location

1000 Tenth Avenue
Suite 3B-20
New York, NY 10019

Mailing address

1000 Tenth Avenue
Suite 3B-20
New York, NY 10019
Phone (212) 523-6607

Other identifiers 1

IdentifierTypeStateIssuer
01272435MedicaidNY

National Provider Directory

National Provider Directory

Locations

1000 10th Ave
Ste 3B20
New York, NY 10019
Phone (212) 523-6594

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1811082480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TENTH AVENUE",
            "address_2": "SUITE 3B-20",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-523-6607",
            "fax_number": "212-523-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TENTH AVENUE",
            "address_2": "SUITE 3B-20",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-523-6607",
            "fax_number": "212-523-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM D REID",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHAIRMAN OF REHAB. MEDICINE DEPT.",
        "authorized_official_telephone_number": "212-523-6595",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "175034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01272435",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.