Individual provider Active NPI

Kevin Robert Soriano Reylado, APN

  • Primary Care Nurse Practitioner
  • North Arlington, NJ
National Provider Identifier
1619650702
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ14892300 Issued in NJ
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

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312000505 NJ Practitioner - Nurse Practitioner 2365888443 Reassigns benefits to 1 organization

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
West Hudson Pulmonary Associates CorpcGroup PAC ID 1951456060, 7 clinicians

Practice addresses (Care Compare)

181 Franklin Ave
Suite 304
Nutley, NJ 07110-2900
Phone (973) 743-2455

Hospital & facility affiliations

  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Hudson Pulmonary Associates Corpc CurrentSince Jan 16, 2024 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.

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": "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

Verify at the official NPI Registry.