Active NPI
Reed E Pyeritz, MD
- Clinical Genetics (M.D.) Physician
- Philadelphia, PA
National Provider Identifier
1669401170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- MD049515L
- Practice address
- 3400 Civic Center Blvd
2 East
Philadelphia, PA 19104-5127 - Phone
- (215) 662-4740
- Fax
- (215) 614-0298
- NPI assigned
- Jun 30, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD049515L | PA | |
| Clinical Genetics (M.D.) Physician | 207SG0201X | MD049515L | PA | Primary |
| Clinical Biochemical Genetics Physician | 207SG0202X | MD049515L | PA | |
| Internal Medicine Physician | 207R00000X | MD049515L | PA |
Addresses
Primary practice location
3400 Civic Center Blvd
2 East
Philadelphia, PA 19104-5127
Mailing address
3400 Civic Center Blvd
2 East
Philadelphia, PA 19104-5127
Phone (215) 662-4740
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9089101 | Medicaid | NJ | |
| 0010386480002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD049515L | PA | MD | Clinical Genetics (M.D.) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786838400000",
"number": "1669401170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"address_2": "2 EAST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045127",
"telephone_number": "215-662-4740",
"fax_number": "215-614-0298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 CIVIC CENTER BLVD",
"address_2": "2 EAST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191045127",
"telephone_number": "215-662-4740",
"fax_number": "215-614-0298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYERITZ",
"first_name": "REED",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2026-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD049515L",
"primary": false
},
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "PA",
"license": "MD049515L",
"primary": true
},
{
"code": "207SG0202X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Biochemical Genetics",
"state": "PA",
"license": "MD049515L",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD049515L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9089101",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010386480002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.