Reza Razvi, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MB11780500 Issued in NJ

Practice address

1314 Hooper Ave
Toms River, NJ 08753-2586

Phone

(732) 255-7553

NPI assigned

Apr 5, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Silverton Pediatrics LLC

  • Pediatric Adolescent Medicine Physician
  • Toms River, NJ
  • NPI 1538209408
  NPD (past)
• Central Texas Pain Institute PLLC

  • Interventional Pain Medicine Physician
  • Killeen, TX
  • NPI 1316956832
  NPD (past)

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1316443443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BROOKFIELD DR",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273881",
            "telephone_number": "609-529-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532586",
            "telephone_number": "732-255-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZVI",
        "first_name": "REZA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB11780500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Edward Ray Jr., PHARMD
• Vivek Rayavarapu, MD
• Aaron Paul Raymond, RD
• Maryanne Michelle Raynor, LCSW
• Greggy Rayos
• Jaclyn Razzagone, M.A. CCC-SLP
• Reaching Beyond LLC
• Stephanie Marie Reahm, MPT
• Frank Reda, MD
• Tara Redmond, LCSW

• Pediatrics Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.

Verify at the official NPI Registry.