Angel David Duncan Reyna, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTQA01058400 Issued in NJ

Practice address

345 Main St
West Orange, NJ 07052-5700

Phone

(973) 325-8388

Fax

(973) 325-8488

NPI assigned

Oct 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Excellent Homecare of NJ LLC

  • Physical Therapist
  • Wayne, NJ
  • NPI 1427602549
  Medicare reassignment NPD

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255417549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 BENVENUE AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523216",
            "telephone_number": "862-224-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525700",
            "telephone_number": "973-325-8388",
            "fax_number": "973-325-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNA",
        "first_name": "ANGEL DAVID",
        "middle_name": "DUNCAN",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PTQA01058400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giana Nicole Resta, MS CF-SLP
• Marissa Restaino, PT, DPT
• Restoration Family Services LLC
• Restore Healthcare Services
• Revathi Kotla MD PC
• Susan Reyna, LCSW
• Esther Reynoso, MS RDN
• Sana Riaz, DO
• Richard a. Newman, D.M.D., P.a.
• Maureen L Richards, NP

• Physical Therapist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.