Individual provider Active NPI

Debora Cummings Reeh, D.O.

  • Family Medicine Physician
  • Moorestown, NJ
National Provider Identifier
1164513982
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB69721 Issued in NJ
Practice address
701 E Main St
Suite 1
Moorestown, NJ 08057-3032
Phone
(856) 235-6800
Fax
(856) 235-6811
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB69721 NJ Primary

Addresses

Primary practice location

701 E Main St
Suite 1
Moorestown, NJ 08057-3032

Mailing address

701 E Main St
Suite 1
Moorestown, NJ 08057-3032
Phone (856) 235-6800

Other identifiers 1

IdentifierTypeStateIssuer
7112277OtherNJAETNA NON-HMO PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2019 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB69721NJMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1164513982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573032",
            "telephone_number": "856-235-6800",
            "fax_number": "856-235-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E MAIN ST",
            "address_2": "SUITE 1",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573032",
            "telephone_number": "856-235-6800",
            "fax_number": "856-235-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEH",
        "first_name": "DEBORA",
        "middle_name": "CUMMINGS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB69721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO PROVIDER",
            "identifier": "7112277",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.