Active NPI
Jennifer Eve Reyes, PA-C
- Physician Assistant
- Paramus, NJ
National Provider Identifier
1548579162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00013800
- Practice address
- 37 W Century Rd
Suite 104
Paramus, NJ 07652-1409 - Phone
- (201) 493-0123
- Fax
- (201) 493-0127
- NPI assigned
- Sep 30, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00013800 | NJ | Primary |
Addresses
Primary practice location
37 W Century Rd
Suite 104
Paramus, NJ 07652-1409
Mailing address
37 W Century Rd
Suite 104
Paramus, NJ 07652-1409
Phone (201) 493-0123
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
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1548579162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 W CENTURY RD",
"address_2": "SUITE 104",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076521409",
"telephone_number": "201-493-0123",
"fax_number": "201-493-0127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 W CENTURY RD",
"address_2": "SUITE 104",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076521409",
"telephone_number": "201-493-0123",
"fax_number": "201-493-0127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JENNIFER",
"middle_name": "EVE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00013800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.