Moshe Reiss, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

382337 Issued in NY

Practice address

20 Hospital Rd
Munger Pavilion
Valhalla, NY 10595-1538

Phone

(914) 594-4714

NPI assigned

Nov 20, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1972847580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 GROVE AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162310",
            "telephone_number": "347-267-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL RD",
            "address_2": "MUNGER PAVILION",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951538",
            "telephone_number": "914-594-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISS",
        "first_name": "MOSHE",
        "name_prefix": "Mr.",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elisabeth Reid, NPP
• Laura Reilly
• Nicole Reilly, FNP
• Elizabeth Reiman, LCSW
• Ashley Reinert
• Roselin Reiss, DMD
• Alexa Patricia Rendon
• Martha Renteria
• Erin Rescoe, MD
• Abraham Resnick

• Pediatric Nurse Practitioner in Valhalla, NY
• Providers in Valhalla, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.