Mark Reyn MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MA48289 Issued in NJ

Legal business name

MARK REYN MD PC

Practice address

29-11 Fair Lawn Ave
Fair Lawn, NJ 07410-3412

Phone

(201) 794-0940

Fax

(201) 794-0353

NPI assigned

Jun 13, 2008

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna Kagan

Title

Office Manager

Phone

(201) 794-0940

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark S Reyn, MD

  • Internal Medicine Physician
  • Fair Lawn, NJ
  • NPI 1225064546
  Medicare reassignment NPD

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1366602278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29-11 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103412",
            "telephone_number": "201-794-0940",
            "fax_number": "201-794-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29-11 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103412",
            "telephone_number": "201-794-0940",
            "fax_number": "201-794-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK REYN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-794-0940"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MA48289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marguerite Mansueto
• Maple Avenue Pediatrics
• Marathon Health, LLC (Marathon Health, Fair Lawn NJ)
• Aida Margolin, MD
• Rebekah Marino, PT, DPT, ATC
• Mariya Markenzon, RDN
• Paul Joseph Markowitz, D.M.D.
• William Michael Marotta, LCSW
• Jo Ann T Marquez, OT
• Kyle Marsilio, PT, DPT

• General Practice Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.