Individual provider Active NPI

Maritess Alcober Reyes, APN-C

  • Gerontology Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1568028819
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00857000 Issued in NJ
Practice address
25 Mule Rd Unit B8
Toms River, NJ 08755-5037
Phone
(732) 240-4000
NPI assigned
May 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00857000 NJ Primary

Addresses

Primary practice location

25 Mule Rd Unit B8
Toms River, NJ 08755-5037

Mailing address

1072 N Carolina CT
Toms River, NJ 08753-4179
Phone (732) 895-5461

Other practice location 1

307 Route 70 Ste 1A
Lakehurst, NJ 08733-2940
Phone (732) 657-8138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722003084 NJ Practitioner - Nurse Practitioner 3779819206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Care CentersGroup PAC ID 6204279441, 23 clinicians

Practice addresses (Care Compare)

6 Industrial Way W
Suite B
Eatontown, NJ 07724-2258
Phone (732) 460-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00857000NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Centers CurrentSince Mar 30, 2024 Accepting new patients

Locations

6 Industrial Way W
Ste B
Eatontown, NJ 07724
Phone (732) 460-1414

1 Bethany Rd
Ste 91
Hazlet, NJ 07730
Phone (732) 847-3662

1031 McBride Ave
Ste D209
Woodland Park, NJ 07424
Phone (973) 222-8387

Interoperability endpoints

  • Direct secure messaging: mreyes40641@direct.davitaphysiciansolutions.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1568028819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 N CAROLINA CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087534179",
            "telephone_number": "732-895-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MULE RD UNIT B8",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555037",
            "telephone_number": "732-240-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Route 70 Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Lakehurst",
            "state": "NJ",
            "postal_code": "087332940",
            "country_code": "US",
            "telephone_number": "732-657-8138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "MARITESS",
        "middle_name": "ALCOBER",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00857000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.