Individual provider Active NPI

Raquel Reyes, DNP, WHNP, CNM

  • Advanced Practice Midwife
  • Newark, NJ
National Provider Identifier
1083340202
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
26NJ01334500 Issued in NJ
Practice address
140 Bergen St
Acc - Level D- Infectious Disease Practice
Newark, NJ 07103
Phone
(973) 972-7194
NPI assigned
Jul 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NJ01334500 NJ
Advanced Practice Midwife 367A00000X 26NJ01334500 NJ Primary

Addresses

Primary practice location

140 Bergen St
Acc - Level D- Infectious Disease Practice
Newark, NJ 07103

Mailing address

140 Bergen St
Acc - Level D- Infectious Disease Practice
Newark, NJ 07103

Other practice location 1

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221122003547 NJ Practitioner - Nurse Practitioner 6507234580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician Associates of New Jersey IncGroup PAC ID 9830003417, 374 clinicians

Practice addresses (Care Compare)

140 Bergen St
Newark, NJ 07103-2425
Phone (973) 972-9000

Hospital & facility affiliations

  • The University Hospital Hospital, Newark, NJ, CCN 310119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01334500NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince May 28, 2024 Accepting new patients
Barnabas Health Medical Group PC CurrentSince May 28, 2024 Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Dec 1, 2022 Accepting new patients
University Physician Associates of New Jersey Inc PastSince Jul 31, 2022 Accepting new patients

Locations

19 Holly St
Cranford, NJ 07016
Phone (908) 272-7500

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

2130 Millburn Ave
Ste C14
Maplewood, NJ 07040
Phone (973) 313-2550

2130 Millburn Ave
Ste D1
Maplewood, NJ 07040
Phone (973) 704-9589

30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037

140 Bergen St
#D
Newark, NJ 07103
Phone (973) 972-4071

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

90 Bergen St
Newark, NJ 07103
Phone (973) 972-0037

140 Bergen St
Newark, NJ 07103
Phone (973) 972-0320

201 Lyons Ave
#L2
Newark, NJ 07112
Phone (973) 926-4600

Interoperability endpoints

  • Direct secure messaging: rreyes230188@epicdirect.rwjbh.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1083340202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BERGEN ST",
            "address_2": "ACC - LEVEL D- INFECTIOUS DISEASE PRACTICE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BERGEN ST",
            "address_2": "ACC - LEVEL D- INFECTIOUS DISEASE PRACTICE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-972-7194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122027",
            "country_code": "US",
            "telephone_number": "973-926-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "DNP, WHNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ01334500",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "26NJ01334500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.