Individual provider Active NPI

Jennifer Louise Reim, M.S., PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1225315187
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00268300 Issued in NJ
Practice address
955 5TH Ave
New York, NY 10075-1738
Phone
(212) 734-9949
Fax
(212) 734-9894
NPI assigned
Nov 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00268300 NJ Primary

Addresses

Primary practice location

955 5TH Ave
New York, NY 10075-1738

Mailing address

955 5TH Ave
New York, NY 10075-1738
Phone (212) 734-9949

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120914000059 NJ Practitioner - Physician Assistant 6608022991 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Hampton Inc CurrentSince Aug 22, 2016 Accepting new patients
New York Occupational Therapy and Rehabilitation Past Accepting new patients
New York Occupational Therapy & Rehabilitation Past Accepting new patients
Liberty Emergency Physicians LLC Past Accepting new patients

Locations

650 Rancocas Rd
Westampton, NJ 08060
Phone (609) 267-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1225315187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751738",
            "telephone_number": "212-734-9949",
            "fax_number": "212-734-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751738",
            "telephone_number": "212-734-9949",
            "fax_number": "212-734-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIM",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "M.S., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00268300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.