Active NPI
Jennifer Louise Reim, M.S., PA-C
- Physician Assistant
- New York, NY
National Provider Identifier
1225315187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00268300
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Hampton Inc | Current | 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
- 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.
-
- Family Medicine Physician
- Branchburg, NJ
- NPI 1790817633
-
- Emergency Medicine Physician
- Summit, NJ
- NPI 1497783419
-
- Geriatric Psychiatry Physician
- Cedar Knolls, NJ
- NPI 1538499181
-
- Orthopaedic Hand Surgery Physician
- New York, NY
- NPI 1477658722
-
- Specialist
- New York, NY
- NPI 1578596524
-
- Emergency Medicine Physician
- Easton, PA
- NPI 1093932360
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.