Individual provider Active NPI

James Russell Reynolds, DC

  • Chiropractor
  • Montclair, NJ
National Provider Identifier
1295898898
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00427700 Issued in NJ
Practice address
33 Plymouth Street
Suite LL1
Montclair, NJ 07042-2677
Phone
(973) 655-9800
Fax
(973) 655-9813
NPI assigned
Dec 18, 2006
Last updated
Oct 25, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00427700 NJ Primary
Chiropractor 111N00000X X0094791 NY

Addresses

Primary practice location

33 Plymouth Street
Suite LL1
Montclair, NJ 07042-2677

Mailing address

33 Plymouth Street
Suite LL1
Montclair, NJ 07042-2677
Phone (973) 655-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00427700NJMDChiropractor
X0094791NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Healthcare, LLC Chiropractor Current Accepting new patients
Quantum Healthcare, LLC Chiropractor Current Accepting new patients
Progressive Health Care, LLC Chiropractor Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1295898898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PLYMOUTH STREET",
            "address_2": "SUITE LL1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422677",
            "telephone_number": "973-655-9800",
            "fax_number": "973-655-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 PLYMOUTH STREET",
            "address_2": "SUITE LL1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422677",
            "telephone_number": "973-655-9800",
            "fax_number": "973-655-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JAMES",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00427700",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0094791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.