Look up the most recent NPI and PECOS records

Elspeth Reagan

Specialist

Other Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Elspeth Reagan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1700932647
Provider Type
Individual
Full Name
Reagan, Elspeth
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
1/25/2007
Last Updated
7/8/2007

Contact Information

Practice Location

234 E 149th St, Bronx, NY 10451-5504

(718) 579-5156

(718) 579-5556

Mailing Location

8650 105th St, Richmond Hill, NY 11418-1528

(718) 579-5156

(718) 579-5556

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License 127032 New York

Provider Identifiers

ID	Description	Issuer
ID 127032	Description Other	Issuer LICENSE New York

Elspeth Reagan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Leger, Diana Elena

Salguero, Myrna L

Micetich, Katherine

Moreno, Esther

Mattox, Angela

Muniz, Sean

Reznik, Adel

Doherty, Tara

Kinlaw, Doreva R

Hennessey, Karen Lynn