Individual provider Active NPI

Sydney Kate Regina, PA-C

  • Physician Assistant
  • Freehold, NJ
National Provider Identifier
1669244745
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
901 W Main St Ste 267
Freehold, NJ 07728-2537
Phone
(609) 921-9001
NPI assigned
Oct 23, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

901 W Main St Ste 267
Freehold, NJ 07728-2537

Mailing address

901 W Main St Ste 267
Freehold, NJ 07728-2537
Phone (609) 921-9001

Other practice location 1

104 Pheasant Run Ste 105
Newtown, PA 18940-3439
Phone (215) 741-3141

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address s.regina@pbs.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231207003700 NJ Practitioner - Physician Assistant 9931558558 Reassigns benefits to 2 organizations
I20240104001857 PA Practitioner - Physician Assistant 9931558558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Valley Brain and Spine Care,LLCGroup PAC ID 6608042262, 13 clinicians

Practice addresses (Care Compare)

104 Pheasant Run
Suite 105
Newtown, PA 18940-3439
Phone (215) 741-3141

731 Alexander Rd
Suite 200
Princeton, NJ 08540-6345
Phone (609) 921-9001

901 W Main St
Suite 267
Freehold, NJ 07728-2537
Phone (609) 921-9001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.72 of 100Reported as group
Quality
83.6
Promoting interoperability
99
Improvement activities
40
Cost
72.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Brain & Spine, LLC CurrentSince Dec 1, 2023 Accepting new patients
Princeton Brain & Spine, LLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

901 W Main St
Ste 267
Freehold, NJ 07728
Phone (732) 333-8702

731 Alexander Rd
Ste 200
Princeton, NJ 08540
Phone (609) 655-3800

1203 Langhorne Newtown Rd
Ste 138
Langhorne, PA 19047
Phone (215) 710-8644

104 Pheasant Run
Ste 105
Newtown, PA 18940
Phone (215) 968-6844

Interoperability endpoints

  • Direct secure messaging: s.regina@pbs.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1669244745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST STE 267",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "609-921-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST STE 267",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "609-921-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Pheasant Run Ste 105",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189403439",
            "country_code": "US",
            "telephone_number": "215-741-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGINA",
        "first_name": "SYDNEY",
        "middle_name": "KATE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "s.regina@pbs.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "901 W Main St Ste 267",
            "city": "Freehold",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077282537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.