Active NPI
Kevin Robert Soriano Reylado, APN
- Primary Care Nurse Practitioner
- North Arlington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 26NJ14892300
- Practice address
- 25 Locust Ave
North Arlington, NJ 07031-5512 - Phone
- (201) 246-1111
- NPI assigned
- Aug 7, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 26NJ14892300 | NJ | Primary |
Addresses
Primary practice location
25 Locust Ave
North Arlington, NJ 07031-5512
Mailing address
4828 Tonnelle Ave Apt 1216
North Bergen, NJ 07047-2987
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
181 Franklin Ave
Suite 304
Nutley, NJ 07110-2900
Phone (973) 743-2455
Hospital & facility affiliations
- Clara Maass Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Hudson Pulmonary Associates Corpc | Current | Accepting new patients |
Locations
816 Kearny Ave
Kearny, NJ 07032
Phone (201) 991-4544
25 Locust Ave
North Arlington, NJ 07031
Phone (201) 246-1111
181 Franklin Ave
Ste 304
Nutley, NJ 07110
Phone (973) 667-6660
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.
-
- Pulmonary Disease Physician
- Kearny, NJ
- NPI 1609002823
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1619650702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4828 TONNELLE AVE APT 1216",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070472987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 LOCUST AVE",
"city": "NORTH ARLINGTON",
"state": "NJ",
"postal_code": "070315512",
"telephone_number": "201-246-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYLADO",
"first_name": "KEVIN ROBERT",
"middle_name": "SORIANO",
"name_prefix": "Mr.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NJ",
"license": "26NJ14892300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Arlington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.