Individual provider Active NPI

Eric Jay Reines, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Lynn, MA
National Provider Identifier
1154416816
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
45816 Issued in MA
Practice address
62 Market St
Lynn, MA 01901-1005
Phone
(339) 883-1207
Fax
(781) 595-5479
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 45816 MA Primary

Addresses

Primary practice location

62 Market St
Lynn, MA 01901-1005

Mailing address

62 Market St
Lynn, MA 01901-1005
Phone (339) 883-1207

Other identifiers 1

IdentifierTypeStateIssuer
0122009MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150420001240 MA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6608973490

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45816MAMDGeriatric Medicine (Internal Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: eric.reines.p1@direct.elementcare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1154416816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 MARKET ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011005",
            "telephone_number": "339-883-1207",
            "fax_number": "781-595-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 MARKET ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011005",
            "telephone_number": "339-883-1207",
            "fax_number": "781-595-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINES",
        "first_name": "ERIC",
        "middle_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "45816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122009",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.