Individual provider Active NPI

Dean Elethia Taylor-Reid, D.N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Englewood, NJ
National Provider Identifier
1295123248
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00522500 Issued in NJ
Practice address
65 Demott St
Englewood, NJ 07631-2330
Phone
(201) 541-0009
NPI assigned
Dec 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00522500 NJ Primary

Addresses

Primary practice location

65 Demott St
Englewood, NJ 07631-2330

Mailing address

65 Demott St
Englewood, NJ 07631-2330
Phone (201) 233-0554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251126000878 NY Practitioner - Nurse Practitioner 6406126150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

571 Academy St
Apt 1a
New York, NY 10034-5105

65 De Mott St
Englewood, NJ 07631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Somos Medical, P.C CurrentSince Nov 17, 2025 Accepting new patients
Centra Medical Group, LLC PastSince Jun 3, 2017 Accepting new patients

Locations

9 Sickles St
Apt 1A
New York, NY 10040
Phone (212) 304-0096

Organizations & group practices 2

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": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1295123248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 DEMOTT ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312330",
            "telephone_number": "201-233-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 DEMOTT ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312330",
            "telephone_number": "201-541-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-REID",
        "first_name": "DEAN",
        "middle_name": "ELETHIA",
        "name_prefix": "Dr.",
        "credential": "D.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00522500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.