Individual provider Active NPI

Mark Reisman, M.D.

  • Interventional Cardiology Physician
  • New York, NY
National Provider Identifier
1952460826
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
164182 Issued in NY
Practice address
520 E 70TH St FL 4
New York, NY 10021-9800
Phone
(646) 962-5558
Fax
(212) 746-8451
NPI assigned
Dec 7, 2006
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 164182 NY
Interventional Cardiology Physician 207RI0011X 164182 NY Primary

Addresses

Primary practice location

520 E 70TH St FL 4
New York, NY 10021-9800

Mailing address

520 E 70TH St FL 4
New York, NY 10021-9800
Phone (646) 962-5558

Other practice location 1

520 E 70th St Fl 4
New York, NY 10021-9800
Phone (646) 962-5558

Other identifiers 2

IdentifierTypeStateIssuer
1952460826MedicaidWA
0231953OtherWALNI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210715002622 NY Practitioner - Cardiovascular Disease (Cardiology) 2567464324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
164182NYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Cardiovascular Disease CurrentSince Mar 31, 2021 Accepting new patients
Weill Medical College of Cornell Cardiovascular Disease CurrentSince Mar 31, 2021 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

520 E 70th St
Fl 4
New York, NY 10021
Phone (646) 962-5558

520 E 70th St
#4
New York, NY 10021
Phone (212) 746-2150

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

Interoperability endpoints

  • Direct secure messaging: mar9139@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1952460826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 70TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100219800",
            "telephone_number": "646-962-5558",
            "fax_number": "212-746-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 70TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100219800",
            "telephone_number": "646-962-5558",
            "fax_number": "212-746-8451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 E 70th St Fl 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100219800",
            "country_code": "US",
            "telephone_number": "646-962-5558",
            "fax_number": "212-746-8451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISMAN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "164182",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "164182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952460826",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI",
            "identifier": "0231953",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.