Active NPI
Virginia Reath, RPA MPH
- Physician Assistant
- Nyc, NY
National Provider Identifier
1942408893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001097
- Practice address
- 25 5TH Ave
Village Family Practice
Nyc, NY 10012 - Phone
- (212) 477-1750
- NPI assigned
- Jul 3, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001097 | NY | Primary |
Addresses
Primary practice location
25 5TH Ave
Village Family Practice
Nyc, NY 10012
Mailing address
107 Sullivan
#22
Nyc, NY 10012
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001097 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942408893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 SULLIVAN",
"address_2": "#22",
"city": "NYC",
"state": "NY",
"postal_code": "10012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 5TH AVE",
"address_2": "VILLAGE FAMILY PRACTICE",
"city": "NYC",
"state": "NY",
"postal_code": "10012",
"telephone_number": "212-477-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REATH",
"first_name": "VIRGINIA",
"name_prefix": "Ms.",
"credential": "RPA MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "001097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nyc, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.