Individual provider Active NPI

Avner Reggev, M.D.

  • Internal Medicine Physician
  • Hartsdale, NY
National Provider Identifier
1972611614
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
131178 Issued in NY
Practice address
280 N. Cetral Ave, #310a
Hartsdale, NY 10530
Phone
(914) 285-1721
Fax
(914) 285-1722
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 131178 NY Primary
Internal Medicine Physician 207R00000X MD27723 ME

Addresses

Primary practice location

280 N. Cetral Ave, #310a
Hartsdale, NY 10530

Mailing address

25 Woddland Place
Scarsdale, NY 10583
Phone (914) 472-6365

Other practice location 1

30 Community Dr
Camden, ME 04843-2061
Phone (207) 301-6100

Other identifiers 8

IdentifierTypeStateIssuer
131178OtherNYSTATE MEDICAL LICENSE
NP363OtherOXFORD HEALTH PLANS
0C411POtherHIP MED INS
0060721OtherNYGHI MEDICAL INS
343171OtherNYEMPIRE BLUE CROSS AND BLU
00248513MedicaidNY
343172OtherNYEMPIRE BLUE CROSS AND BLU
343173OtherNYEMPIRE BLUE CROSS AND BLU

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040121000892 NY Practitioner - Internal MedicinePractitioner - Psychiatry 4486556412 Reassigns benefits to 3 organizations
Practice locations: Bronx, NY; White Plains, NY
I20240322004180 ME Practitioner - Internal Medicine 4486556412

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Feb 13, 2024 Accepting new patients
Mainehealth CurrentSince Feb 13, 2024 Accepting new patients
Weill Medical College of Cornell Internal Medicine Current Accepting new patients
Empire Wound Physician Services, PLLC CurrentSince Dec 1, 2014 Accepting new patients
Mainehealth Current Accepting new patients
Weill Medical College of Cornell University CurrentSince Jan 1, 2008 Accepting new patients
Hospitalist Healthcare Services PLLC Internal Medicine CurrentSince Jun 24, 2015 Accepting new patients
Weill Medical College of Cornell CurrentSince Jan 1, 2008 Accepting new patients
Hospitalist Healthcare Services PLLC Internal Medicine CurrentSince Jun 24, 2015 Accepting new patients
Park Gardens Rehabilitation and Nursing Center LLC Past Accepting new patients

Locations

30 Community Dr
Camden, ME 04843
Phone (207) 230-6100

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

111 E 210th St
Bronx, NY 10467

67 Springvale Rd
Croton on Hudson, NY 10520
Phone (914) 739-6700

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

1060 Amsterdam Ave
New York, NY 10025
Phone (212) 316-7700

Weill Cornell Phys Psych D
New York, NY 10087

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

59 Hetcheltown Rd
Scotia, NY 12302
Phone (518) 384-3600

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100

21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1972611614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WODDLAND PLACE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "10583",
            "telephone_number": "914-472-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N. CETRAL AVE, #310A",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "10530",
            "telephone_number": "914-285-1721",
            "fax_number": "914-285-1722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Community Dr",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "ME",
            "postal_code": "048432061",
            "country_code": "US",
            "telephone_number": "207-301-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGGEV",
        "first_name": "AVNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "131178",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD27723",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "131178",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "NP363",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP MED INS",
            "identifier": "0C411P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI MEDICAL INS",
            "identifier": "0060721",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS AND BLU",
            "identifier": "343171",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00248513",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS AND BLU",
            "identifier": "343172",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS AND BLU",
            "identifier": "343173",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsdale, NY

Sources for this page

Verify at the official NPI Registry.