Individual provider Active NPI

Nina D Reynolds, MD

  • Obstetrics & Gynecology Physician
  • Morristown, NJ
National Provider Identifier
1104895309
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA04810000 Issued in NJ
Practice address
16 Elm St
Morristown, NJ 07960-4116
Phone
(973) 829-7040
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA04810000 NJ Primary

Addresses

Primary practice location

16 Elm St
Morristown, NJ 07960-4116

Mailing address

16 Elm St
Morristown, NJ 07960-4116
Phone (973) 829-7040

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071010000649 NJ Practitioner - Obstetrics/Gynecology 6507952298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

111 Madison Ave
Morristown, NJ 07960-7347

Hospital & facility affiliations

  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04810000NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology CurrentSince Dec 28, 2020 Accepting new patients

Locations

33 Main St
Ste 200
Chatham, NJ 07928
Phone (973) 635-2299

33 Main St
#200
Chatham, NJ 07928
Phone (973) 635-2299

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

Interoperability endpoints

  • Direct secure messaging: nina.reynolds.1@27010.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104895309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ELM ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604116",
            "telephone_number": "973-829-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 ELM ST",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604116",
            "telephone_number": "973-829-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "NINA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA04810000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.