Individual provider Active NPI

Eric Keith Reynolds, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jersey City, NJ
National Provider Identifier
1659565240
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006238 Issued in NY
Practice address
115 Christopher Columbus Dr Ste 404
Jersey City, NJ 07302-3551
Phone
(973) 678-1303
Fax
(973) 678-1306
NPI assigned
Aug 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006238 NY Primary

Addresses

Primary practice location

115 Christopher Columbus Dr Ste 404
Jersey City, NJ 07302-3551

Mailing address

115 Christopher Columbus Dr
404
Jersey City, NJ 07302-5526
Phone (973) 678-1303

Other practice location 1

1200 Gravesend Neck Rd # 1A
Brooklyn, NY 11229-4256
Phone (347) 729-0067

Other identifiers 2

IdentifierTypeStateIssuer
A100019366OtherNYPTAN NUMBER
3017645MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071022000100 NY Practitioner - Podiatry 0941396048 Reassigns benefits to 1 organization
I20071210000070 NJ Practitioner - Podiatry 0941396048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 Christopher Columbus Dr
Suite 404
Jersey City, NJ 07302-3551
Phone (973) 678-1303

115 Christopher Columbus Dr
Suite 404
Jersey City, NJ 07302-5526

1200 Gravesend Neck Rd
1A
Brooklyn, NY 11229-4256
Phone (347) 729-0067

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1406
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006238NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Forward Podiatry PC CurrentSince Jul 1, 2025 Accepting new patients
North General Physician Services PLLC PastSince Jul 1, 2006 Accepting new patients
Therapro Medical and Surgical Rehabilitation, P.C. Past Accepting new patients
Foot Forward Podiatry, LLC Foot & Ankle Surgery Past Accepting new patients

Locations

93 Manalapan Ave
Freehold, NJ 07728
Phone (732) 303-8800

65 Jay St
Newark, NJ 07103
Phone (973) 447-8882

1420 S Black Horse Pike
Williamstown, NJ 08094
Phone (856) 875-0100

94 South Ave
Harrisonburg, VA 22801
Phone (276) 638-8701

Organizations & group practices 5

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1659565240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CHRISTOPHER COLUMBUS DR",
            "address_2": "404",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025526",
            "telephone_number": "973-678-1303",
            "fax_number": "973-678-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHRISTOPHER COLUMBUS DR STE 404",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023551",
            "telephone_number": "973-678-1303",
            "fax_number": "973-678-1306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Gravesend Neck Rd # 1A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112294256",
            "country_code": "US",
            "telephone_number": "347-729-0067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "ERIC",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN NUMBER",
            "identifier": "A100019366",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3017645",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.