REINA JOY MIZUKOSHI
NPI 1710757265
Nurse Practitioner - Pediatrics in Bronx, NY
About Reina Joy Mizukoshi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REINA JOY MIZUKOSHI (NPI 1710757265) is an individual pediatrics provider in Bronx, New York, licensed in New York (F383578) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Reina Joy Mizukoshi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Reina Joy Mizukoshi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brooklyn, NY 11237
- Reassigned Medicare billing, New York enrollment
- 427 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Reina Joy Mizukoshi's NPI number?
The NPI number for Reina Joy Mizukoshi is 1710757265. It was assigned to this individual provider in the NPPES registry on January 5, 2024.
Where is Reina Joy Mizukoshi located?
Reina Joy Mizukoshi practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (858) 999-6050.
What is Reina Joy Mizukoshi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Reina Joy Mizukoshi enrolled in Medicare?
Yes. Reina Joy Mizukoshi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Reina Joy Mizukoshi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Reina Joy Mizukoshi reassigns Medicare benefits to Wyckoff Professional Medical Services, PC (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Reina Joy Mizukoshi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Reina Joy Mizukoshi was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Reina Joy Mizukoshi · NPI 1710757265
Pediatrics physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since January 5, 2024.
## Identity
- **NPI:** 1710757265 (Entity type: Individual)
- **Enumerated:** January 5, 2024
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** F383578 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 PELHAM PKWY S, Bronx, NY 10461-1138
- **Phone:** (858) 999-6050
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wyckoff Professional Medical Services, PC (NPI 1659710796, Brooklyn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1710757265) · Data from the CMS NPPES public registry.