Jacqueline Audrey Regist

Primary specialty

SpecialistTaxonomy code 174400000X

License

214350 Issued in NY

Practice address

8866 Myrtle Ave
Glendale, NY 11385-7857

Phone

(718) 850-0400

Fax

(718) 850-1790

NPI assigned

Nov 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1730518622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100366",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112100366",
            "telephone_number": "917-783-0105",
            "fax_number": "718-284-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8866 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857857",
            "telephone_number": "718-850-0400",
            "fax_number": "718-850-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGIST",
        "first_name": "JACQUELINE",
        "middle_name": "AUDREY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-01",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "214350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Elizabeth Quinn, LMSW
• Lisangelie Ramos
• Marcia Ramos, LCSW
• Andrew Brent Ravin, DO
• Recovery Physical Therapy,PC
• Carolyn Agnes Rehm, M.D.
• Thomas Martin Rehm, MD
• Abigail Reyes
• Jenny Reyes, MSW
• Julliya Reznik

• Specialist in Glendale, NY
• Providers in Glendale, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.