Look up the most recent NPI and PECOS records

Kathleen Reichard

Pediatrics

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Kathleen Reichard is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1255405874
Provider Type
Individual
Full Name
Reichard, Kathleen
Credential
MD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/17/2006
Last Updated
6/19/2020

Contact Information

Practice Location

1000 10th Ave, New York, NY 10019-1147

(212) 523-6745

Unlisted Fax

Mailing Location

407 Airport Executive Park, Nanuet, NY 10954-5288

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License 202821 New York
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 25MB06152100 New Jersey

Provider Identifiers

ID	Description	Issuer
ID 01847603	Description Medicaid	Issuer Unlisted New York

Kathleen Reichard

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Ahle, Gabriella

Tangredi, Angela

Varma, Melissa Jayne

Linday, Linda Anne

Kostko, Oksana

Goldman, Gilbert

Shah, Rozana

Puente-Guzman, Soledad

Robles, Antonette

Westside Pediatric Assosoates