Individual provider Active NPI

J Philip Reimherr, MD

  • Specialist
  • Lynn, MA
National Provider Identifier
1437178993
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
37769 Issued in MA
Practice address
173 Oxford St
Lynn, MA 01901-1117
Phone
(781) 268-2200
Fax
(781) 268-0465
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 37769 MA Primary

Addresses

Primary practice location

173 Oxford St
Lynn, MA 01901-1117

Mailing address

173 Oxford St
Lynn, MA 01901-1117
Phone (781) 268-2200

Other identifiers 1

IdentifierTypeStateIssuer
2047381MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20040204000546 MA Practitioner - Psychiatry 6002709037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Perelman School of Med at the University of Pennsylvania, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Associates of Lynn PCGroup PAC ID 3476467952, 6 clinicians

Practice addresses (Care Compare)

173 Oxford St
Lynn, MA 01901-1117
Phone (781) 268-2200

Hospital & facility affiliations

  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37769MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Associates of Lynn PC Specialist CurrentSince Jun 1, 1976 Accepting new patients

Locations

173 Oxford St
Lynn, MA 01901
Phone (781) 268-2200

270 Union St
Ste 3
Lynn, MA 01901
Phone (781) 268-2200

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1437178993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 OXFORD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011117",
            "telephone_number": "781-268-2200",
            "fax_number": "781-268-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 OXFORD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011117",
            "telephone_number": "781-268-2200",
            "fax_number": "781-268-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMHERR",
        "first_name": "J",
        "middle_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "37769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047381",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.