Basic Information
| Provider Information | |||||||||
| NPI: | 1194781831 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | REINKING | ||||||||
| FirstName: | GREGORY | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 259 1ST ST | ||||||||
| Address2: | |||||||||
| City: | MINEOLA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115013957 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 347 N KUAKINI ST | ||||||||
| Address2: | |||||||||
| City: | HONOLULU | ||||||||
| State: | HI | ||||||||
| PostalCode: | 968172306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8085220190 | ||||||||
| FaxNumber: | 8085239068 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/21/2006 | ||||||||
| LastUpdateDate: | 10/18/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | MD11388 | HI | N | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085N0700X | 252149 | NY | Y | Allopathic & Osteopathic Physicians | Radiology | Neuroradiology |
ID Information
| ID | Type | State | Issuer | Description | 990157698-96701-B011 | 01 | HI | TRICARE | OTHER | 9869147 | 01 | HI | HI ELEC | OTHER | 0049590403 | 05 | HI | MEDICAID | 00A0227585 | 01 | HI | QUEST HMSA | OTHER | 103802483 | 01 | HI | US MARSHALL SVC-FED DET C | OTHER | 108-2145098 | 01 | HI | AETNA | OTHER | 05115022 | 05 | NY | MEDICAID | 495904-01 | 01 | HI | ST DEPT OF PUB SAFETY | OTHER | 990157698 | 01 | HI | AETNA, UHC, CIGNA | OTHER | 990157698-96817-E011 | 01 | HI | TRICARE | OTHER | 0049590401 | 05 | HI | MEDICAID | 00B0227583 | 01 | HI | QUEST HMSA | OTHER | 201243800 | 01 | HI | US LABOR DEPT | OTHER | B227583 | 01 | HI | HMSA | OTHER | MD11388 | 01 | HI | QUEENS HEALTHCARE | OTHER | 495904-03 | 01 | HI | ST DEPT OF PUB SAFETY | OTHER | 920006125 | 01 | HI | PALMETTO GBA | OTHER | A227585 | 01 | HI | HMSA | OTHER |