Organization Active NPI

Reema Taneja, M.D., Inc.

  • Internal Medicine Physician
  • Boardman, OH
National Provider Identifier
1073667168
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35073047 Issued in OH
Legal business name
REEMA TANEJA, M.D., INC.
Practice address
1280 Boardman Canfield Rd Ste 3
Boardman, OH 44512-4073
Phone
(330) 726-1900
Fax
(330) 726-0843
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Reema Taneja, MDNPI 1417930165
Title
Owner
Phone
(330) 726-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35073047 OH Primary

Addresses

Primary practice location

1280 Boardman Canfield Rd Ste 3
Boardman, OH 44512-4073

Mailing address

1240 Boardman Canfield Rd
Suite # 1
Boardman, OH 44512-4044
Phone (330) 726-1900

Other identifiers 1

IdentifierTypeStateIssuer
2394083MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100823000091 OH Part B Supplier - Clinic/Group Practice 2567596885 Receives reassigned benefits from 2 practitioners
Practice locations: Boardman, OH

National Provider Directory

National Provider Directory

Locations

1240 Boardman Canfield Rd
Ste 1
Boardman, OH 44512
Phone (330) 757-7273

3610 Southern Blvd
Youngstown, OH 44507
Phone (330) 781-0046

1280 Boardman Canfield Rd
Ste 3
Youngstown, OH 44512
Phone (330) 726-1900

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1073667168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 BOARDMAN CANFIELD RD",
            "address_2": "SUITE # 1",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124044",
            "telephone_number": "330-726-1900",
            "fax_number": "330-726-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 BOARDMAN CANFIELD RD STE 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124073",
            "telephone_number": "330-726-1900",
            "fax_number": "330-726-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEMA TANEJA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "TANEJA",
        "authorized_official_first_name": "REEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-726-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2394083",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.