Active NPI
John Douglas Reich, M.D.
- Family Medicine Physician
- Bronx, NY
National Provider Identifier
1881672038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 170108
- Practice address
- 1276 Fulton Ave
4TH Floor
Bronx, NY 10456-3402 - Phone
- (718) 901-8781
- Fax
- (718) 901-8704
- NPI assigned
- Jan 6, 2006
- Last updated
- Sep 27, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 170108 | NY | Primary |
Addresses
Primary practice location
1276 Fulton Ave
4TH Floor
Bronx, NY 10456-3402
Mailing address
1276 Fulton Ave
4TH Floor
Bronx, NY 10456-3402
Phone (718) 901-8781
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Family Medicine | Current | Accepting new patients |
| Bronxcare Health System | Current | Accepting new patients | |
| Bronxcare Health System | Current | Accepting new patients | |
| Bronxcare Health System | Past | Accepting new patients | |
| Wyckoff Family Medical Services P C | Family Medicine | Past | Accepting new patients |
Locations
1276 Fulton Ave
#208
Bronx, NY 10456
Phone (718) 901-8911
1276 Fulton Ave
Fl 4
Bronx, NY 10456
Phone (718) 901-8244
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
- Psychiatry Physician
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- NPI 1073806519
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1780621516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285545600000",
"number": "1881672038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1276 FULTON AVE",
"address_2": "4TH FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104563402",
"telephone_number": "718-901-8781",
"fax_number": "718-901-8704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 FULTON AVE",
"address_2": "4TH FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104563402",
"telephone_number": "718-901-8781",
"fax_number": "718-901-8704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICH",
"first_name": "JOHN",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2010-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "170108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.