Josemodesto Reyes Consul, rn
Registered Nurse in Commack, NY. Individual provider (NPI-1).
NPI number1922593565
StatusActive
Last updated in NPPESAug 14, 2024
Details
- NPI
- 1922593565
- Entity type
- Individual (NPI-1)
- Name
- Mr. Josemodesto Reyes Consul
- Credential
- rn
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2018
- Certification date
- Aug 14, 2024
- Last updated
- Aug 14, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 597615 | NY | Yes |
Practice location
7 Otsego PlCommack, NY 11725-5005
Phone 631-504-2150
Mailing address
7 Otsego PlCommack, NY 11725-5005
Phone 631-327-0759
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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