Alvaro G Reymunde, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD452724 Issued in PA

Practice address

451 3Rd Ave Ste 1
Kingston, PA 18704-5802

Phone

(570) 288-6543

Fax

(570) 288-7130

NPI assigned

Apr 19, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Pediatric Associates of Kingston, LLC

  • Pediatrics Physician
  • Kingston, PA
  • NPI 1831201276
  NPD (past)

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1497012132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 3RD AVE STE 1",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045802",
            "telephone_number": "570-288-6543",
            "fax_number": "570-288-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 3RD AVE STE 1",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045802",
            "telephone_number": "570-288-6543",
            "fax_number": "570-288-7130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Tioga Ave",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "PA",
            "postal_code": "187045624",
            "country_code": "US",
            "telephone_number": "570-288-6543",
            "fax_number": "570-288-7130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1081 Oak St",
            "address_purpose": "LOCATION",
            "city": "Pittston",
            "state": "PA",
            "postal_code": "186403716",
            "country_code": "US",
            "telephone_number": "570-288-6543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYMUNDE",
        "first_name": "ALVARO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-19",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "28434R",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD452724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102960814",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Marie Reiser, LPC
• Reliable Heartz LLC Christina Marie Layden Moore
• Carol Marie Rentsch, COTA/L
• Mary Repasky, MS COUNSELING
• Revive Counseling Associates
• Richard R. Grossman, D.D.S., P.C.
• Maria C Richards, PSY.D.
• David F Rimple, M.D.
• Jeanne Ann Rinehouse, MD
• Andrew Rinker, DC

• Pediatrics Physician in Kingston, PA
• Providers in Kingston, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.