NPIMap

Organization Active NPI

Reach Medical PLLC

  • General Practice Physician
  • Ithaca, NY
National Provider Identifier
1831601533
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
225677 Issued in NY
Legal business name
REACH MEDICAL PLLC
Practice address
402 N Cayuga St
Ithaca, NY 14850-4291
Phone
(607) 273-7000
NPI assigned
Nov 2, 2017
Last updated
May 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Ms. Amy Gecan
Title
Finance
Phone
(607) 273-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 225677 NY Primary

Addresses

Primary practice location

402 N Cayuga St
Ithaca, NY 14850-4291

Mailing address

402 N Cayuga St
Ithaca, NY 14850-4291
Phone (607) 273-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180409000218 NY Part B Supplier - Clinic/Group Practice 8123381993 Receives reassigned benefits from 14 practitioners
Practice locations: Ithaca, NY

National Provider Directory

National Provider Directory

Locations

1001 W Seneca St
Fl 1
Ithaca, NY 14850

130 E Seneca St
Fl 3
Ithaca, NY 14850

130 E Seneca St
Ste 300
Ithaca, NY 14850

277 Main St
Johnson City, NY 13790
Phone (607) 273-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17251/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1831601533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N CAYUGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504291",
            "telephone_number": "607-273-7000",
            "fax_number": "607-273-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N CAYUGA ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504291",
            "telephone_number": "607-273-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "GECAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "FINANCE",
        "authorized_official_telephone_number": "607-273-7000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "225677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.