Individual provider Active NPI

Reeba Thomas Jomi, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1093304875
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01102500 Issued in NJ
Practice address
7447 W Talcott Ave Ste 308
Chicago, IL 60631-3714
Phone
(773) 774-4512
Fax
(773) 444-0314
NPI assigned
Jan 15, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yusuf Salah LLC 45 clinicians

Practice addresses (Care Compare)

735 W Diversey Pkwy
Chicago, IL 60614-2337
Phone (773) 348-4055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20230511001743 IL Practitioner - Nurse Practitioner 0143612598 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Allergy & Asthma, LLC CurrentSince Jan 1, 2023 Accepting new patients
Yusuf Salah LLC Family CurrentSince Nov 30, 2023 Accepting new patients
Asthma & Allergy Care, PC PastSince Jan 1, 2021 Accepting new patients

Locations

7447 W Talcott Ave
Ste 308
Chicago, IL 60631
Phone (773) 763-7522

735 W Diversey Pkwy
Chicago, IL 60614
Phone (773) 348-4055

19550 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-8400

6321 Dempster St
Morton Grove, IL 60053

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01102500 NJ
Family Nurse Practitioner 363LF0000X 26NJ01102500 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

7447 W Talcott Ave Ste 308
Chicago, IL 60631-3714

Mailing address

11 Pine St Apt 419
Montclair, NJ 07042-4381
Phone (215) 680-5162

Other practice location 1

41-51 Wilson Ave Ste 2-B
Newark, NJ 07105-3269
Phone (908) 813-0230

Other practice location 2

354 Route 46 W Ste 2B
Hackettstown, NJ 07840-5335
Phone (908) 813-0230

Other practice location 3

2333 Morris Ave Ste A115
Union, NJ 07083-5755
Phone (908) 813-0230

Other practice location 4

496 E Main St Ste 1
Denville, NJ 07834-2554
Phone (908) 813-0230

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 1, 2023.

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1093304875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PINE ST APT 419",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424381",
            "telephone_number": "215-680-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 308",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313714",
            "telephone_number": "773-774-4512",
            "fax_number": "773-444-0314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41-51 Wilson Ave Ste 2-B",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071053269",
            "country_code": "US",
            "telephone_number": "908-813-0230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Route 46 W Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Hackettstown",
            "state": "NJ",
            "postal_code": "078405335",
            "country_code": "US",
            "telephone_number": "908-813-0230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2333 Morris Ave Ste A115",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "NJ",
            "postal_code": "070835755",
            "country_code": "US",
            "telephone_number": "908-813-0230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "496 E Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Denville",
            "state": "NJ",
            "postal_code": "078342554",
            "country_code": "US",
            "telephone_number": "908-813-0230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOMI",
        "first_name": "REEBA",
        "middle_name": "THOMAS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01102500",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01102500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.