Active NPI
Rima Reitblat, MD
- Geriatric Medicine (Family Medicine) Physician
- Goshen, NY
National Provider Identifier
1851494876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 60-232367
- Practice address
- 30 Hatfield LN
Ste 101
Goshen, NY 10924-6766 - Phone
- (845) 651-1400
- Fax
- (845) 651-1512
- NPI assigned
- Sep 6, 2006
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 60-232367 | NY | Primary |
Addresses
Primary practice location
30 Hatfield LN
Ste 101
Goshen, NY 10924-6766
Mailing address
2 Coates Dr
Goshen, NY 10924-6758
Phone (845) 651-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99961L663 | Other | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60-232367 | NY | MD | Geriatric Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1851494876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 COATES DR",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246758",
"telephone_number": "845-651-1400",
"fax_number": "845-651-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HATFIELD LN",
"address_2": "STE 101",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246766",
"telephone_number": "845-651-1400",
"fax_number": "845-651-1512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITBLAT",
"first_name": "RIMA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-06",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NY",
"license": "60-232367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "99961L663",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.