Andrea I. Reznik MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA04032600 Issued in NJ

Legal business name

ANDREA I. REZNIK MD PA

Practice address

201 Union Ave
BLDG. 2 Suite a
Bridgewater, NJ 08807-3002

Phone

(908) 725-4242

Fax

(908) 725-4006

NPI assigned

Sep 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Isabelle Reznik, M.D.

Title

President

Phone

(908) 725-4242

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1265715775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 UNION AVE",
            "address_2": "BLDG. 2 SUITE A",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073002",
            "telephone_number": "908-725-4242",
            "fax_number": "908-725-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 UNION AVE",
            "address_2": "BLDG. 2 SUITE A",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073002",
            "telephone_number": "908-725-4242",
            "fax_number": "908-725-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA I. REZNIK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "REZNIK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "ISABELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-725-4242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04032600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3265307",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.