Active NPI
Roland Reyes, CRNA
- Certified Registered Nurse Anesthetist
- Elizabeth, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 07448200
- Practice address
- 225 Williamson St
Elizabeth, NJ 07202-3625 - Phone
- (908) 994-5204
- NPI assigned
- Feb 2, 2006
- Last updated
- Apr 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 07448200 | NJ | Primary |
Addresses
Primary practice location
225 Williamson St
Elizabeth, NJ 07202-3625
Mailing address
804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Phone (800) 394-4445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07448200 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Broadway Anesthesia Providers, LLC | Current | Accepting new patients | |
| North Shore - Lij Anesthesiology, PC | Current | Accepting new patients | |
| Downtown Bronx Medical Associates PC | Current | Accepting new patients | |
| Trinitas Anesthesia Associates, LLC | Past | Accepting new patients | |
| Seaview Medical Group, PC | Past | Accepting new patients |
Locations
804 Scott Nixon Memorial Dr
Martinez, GA 30907
680 Broadway
Ste 2
Paterson, NJ 07514
Phone (973) 782-4202
234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
242 Mason Ave
Staten Island, NY 10305
Phone (718) 226-1458
475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855
2 Centerock Rd
West Nyack, NY 10994
Phone (844) 592-7009
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- rreyes838882@nychhc.direct-ci.com
Organizations & group practices 7
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bronx, NY
- NPI 1689618407
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1417901323
-
- Anesthesiology Physician
- Paterson, NJ
- NPI 1093046179
-
- Anesthesiology Physician
- Elizabeth, NJ
- NPI 1013988054
-
- Specialist
- Staten Island, NY
- NPI 1144227695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1205808425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SCOTT NIXON MEMORIAL DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309072464",
"telephone_number": "800-394-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 WILLIAMSON ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072023625",
"telephone_number": "908-994-5204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "ROLAND",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "07448200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.