Jennifer L Reardon, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F303926 Issued in NY

Practice address

160 North Midland Ave
Weill Cornell Multiple Sclerosis Center at Nyack Hospit
Nyack, NY 10960

Phone

(845) 348-8880

Fax

(845) 348-2047

NPI assigned

Jul 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Montefiore Nyack Hospital

  • Neurology Physician
  • Nyack, NY
  • NPI 1073881835
  Medicare reassignment NPD
• Laboratory Medicine Associates, LLP

  • Anatomic Pathology & Clinical Pathology Physician
  • Nyack, NY
  • NPI 1740251578
  NPD
• Montefiore Nyack Hospital

  • General Acute Care Hospital
  • Nyack, NY
  • NPI 1104808062
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1679506455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 NORTH MIDLAND AVE",
            "address_2": "WEILL CORNELL MULTIPLE SCLEROSIS CENTER AT NYACK HOSPIT",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "10960",
            "telephone_number": "845-348-8880",
            "fax_number": "845-348-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NORTH MIDLAND AVE",
            "address_2": "WEILL CORNELL MULTIPLE SCLEROSIS CENTER AT NYACK HOSPIT",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "10960",
            "telephone_number": "845-348-8880",
            "fax_number": "845-348-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda E. Walker Randolph, LCSW
• Chris F. Randolph, LCAT
• Marcia Rappaport, R.D., CDN, IBCLC
• Rupangi Rastogi, PHARMD
• Eunisa Leigh Rauschenberg, MS, ATR-BC, LCAT
• Barbara H. Regal, LCSW
• Joselyn Reyes, MHC-LP
• Renso Reyes
• Maria Rezak, PHD
• Samantha Riccardi

• Adult Health Nurse Practitioner in Nyack, NY
• Providers in Nyack, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.