John Joseph Reynolds, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001944 Issued in NY

Practice address

2 Executive Blvd
202
Suffern, NY 10901-4164

Phone

(845) 368-4700

Fax

(845) 368-4727

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Michael B. Schachter, MDPC

  • Family Medicine Physician
  • Suffern, NY
  • NPI 1306968532
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699809665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PHYLLIS DR",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702631",
            "telephone_number": "845-364-9496",
            "fax_number": "845-364-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE BLVD",
            "address_2": "202",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014164",
            "telephone_number": "845-368-4700",
            "fax_number": "845-368-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "001944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael F Reilly, DO
• Patricia Reilly, FNP
• Renata Witkowska Asthma Allergy and Sinus PLLC
• Lakasha Rennock, RN
• Jessica Resto, RN
• Karen C.F. Rhodes, PH.D.
• Rena Marie Riccardi, MS, RD, CDE
• Arlene Diana Riccio, CRNA
• Melissa Riccio
• Jermaine Ricketts, LPN

• Physician Assistant in Suffern, NY
• Providers in Suffern, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.