Individual provider Active NPI

Jennifer Ashley Reyes

  • Emergency Medicine Physician
  • Aventura, FL
National Provider Identifier
1194258921
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
304455 Issued in NY
Practice address
20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone
(512) 636-5737
NPI assigned
Apr 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 304455 NY Primary

Addresses

Primary practice location

20900 Biscayne Blvd
Aventura, FL 33180-1407

Mailing address

2 Lincoln PL Apt 3R
Brooklyn, NY 11217-3541
Phone (512) 636-5737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, NJ, LA, PA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20200626000957 NY Practitioner - Emergency Medicine 5496177016 Reassigns benefits to 2 organizations
I20230814004036 TX Practitioner - Emergency Medicine 5496177016 Reassigns benefits to 2 organizations
I20240111003241 NJ Practitioner - Emergency Medicine 5496177016
I20250307000137 LA Practitioner - Emergency Medicine 5496177016 Reassigns benefits to 1 organization
I20250910002549 PA Practitioner - Emergency Medicine 5496177016

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mylaurel Medical Group la, LLCGroup PAC ID 8123365467, 15 clinicians
Mylaurel Medical Group Ny, PLLCGroup PAC ID 7618349044, 14 clinicians

Practice addresses (Care Compare)

824 Elmwood Park Blvd
Suite 135
Harahan, LA 70123-3337
Phone (504) 370-9966

949 48TH St
Brooklyn, NY 11219-2919
Phone (702) 417-6255

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304455NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mylaurel Medical Group TX, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Mylaurel Medical Group Ny, PLLC Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jul 20, 2023 Accepting new patients
Mylaurel Medical Group la, LLC CurrentSince Feb 1, 2025 Accepting new patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Apr 20, 2020 Accepting new patients
Virta Medical P.C. PastSince Apr 14, 2025 Accepting new patients

Locations

824 Elmwood Park Blvd
Ste 135
New Orleans, LA 70123
Phone (504) 266-2576

949 48th St
Brooklyn, NY 11219
Phone (702) 417-6255

300 Community Dr
Manhasset, NY 11030

885 3rd Ave
Fl 29
New York, NY 10022
Phone (866) 603-7803

972 Brush Hollow Rd
Westbury, NY 11590

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

2500 West Loop S
Ste 230
Houston, TX 77027
Phone (702) 417-6255

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

3011 W Loop 1604 N
San Antonio, TX 78251
Phone (210) 598-5605

Interoperability endpoints

  • Direct secure messaging: jennifer.reyes.1@25238.direct.athenahealth.com

Organizations & group practices 6

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

Hospital & facility affiliations 2

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": "1491609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1194258921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LINCOLN PL APT 3R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173541",
            "telephone_number": "512-636-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20900 BISCAYNE BLVD",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801407",
            "telephone_number": "512-636-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "JENNIFER",
        "middle_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-08",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "304455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

Verify at the official NPI Registry.