Individual provider Active NPI

Johan Reyes

  • Pain Medicine (Anesthesiology) Physician
  • Cherry Hill, NJ
National Provider Identifier
1750680948
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
25MA09904000 Issued in NJ
Practice address
1400 Route 70 E
Cherry Hill, NJ 08034-2240
Phone
(888) 985-2727
NPI assigned
Mar 28, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Spine and Pain LLC 43 clinicians

Practice addresses (Care Compare)

2 8TH St
Hammonton, NJ 08037-3347
Phone (888) 985-2727

Hospital & facility affiliations

  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073
  • Community Medical Center Hospital, Toms River, NJ, CCN 310041

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
69.54
Promoting interoperability
95
Improvement activities
40
Cost
75.44

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160913000866 NJ Practitioner - Pain ManagementPractitioner - Anesthesiology 9335435692 Reassigns benefits to 1 organization
I20160913001058 PA Practitioner - Pain ManagementPractitioner - Anesthesiology 9335435692 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA09904000NJMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Recovery II, LLC CurrentSince Mar 1, 2021 Accepting new patients
Advanced Spine and Pain, LLC CurrentSince Aug 1, 2016 Accepting new patients
Outreach Recovery II, LLC CurrentSince Mar 1, 2021 Accepting new patients
Advanced Spine and Pain LLC Pain Medicine CurrentSince Aug 1, 2016 Accepting new patients
Atlantic Medical Imaging Past Accepting new patients
Advanced Spine and Pain, LLC PastSince Feb 12, 2023 Accepting new patients

Locations

4201 Northview Dr
Ste 104
Bowie, MD 20716
Phone (410) 472-5003

429 White Horse Pike
Atco, NJ 08004
Phone (856) 753-1111

1400 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 216-0300

1030 Kings Hwy N
Ste 200
Cherry Hill, NJ 08034
Phone (856) 482-0030

2 8th St
Hammonton, NJ 08037
Phone (609) 561-8500

27 S Cooks Bridge Rd
Ste 2-11
Jackson, NJ 08527
Phone (732) 836-3200

227 Madison Ave
Lumberton, NJ 08048
Phone (609) 261-7562

925 Route 73 N
Ste H
Marlton, NJ 08053
Phone (410) 472-5003

1820 Corlies Ave
Ste 10A
Neptune City, NJ 07753
Phone 8889852727 ext. 610

2186 Route 27
Ste 2D
North Brunswick, NJ 08902
Phone (732) 297-2600

4307 Westfield Ave
Pennsauken, NJ 08110
Phone (856) 488-0222

310 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-4500

40 Bey Lea Rd
Ste C203
Toms River, NJ 08753
Phone (732) 240-3390

750 Mantua Pike
Woodbury Hts, NJ 08097
Phone (215) 694-5261

9815 Roosevelt Blvd
Ste J
Philadelphia, PA 19114
Phone (443) 454-1316

400 Cresson Blvd
Ste 110
Phoenixville, PA 19460

Interoperability endpoints

  • Direct secure messaging: johan.reyes.1@11679.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA09904000 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

1400 Route 70 E
Cherry Hill, NJ 08034-2240

Mailing address

1400 Route 70 E
Cherry Hill, NJ 08034-2240
Phone (888) 985-2727

Other practice location 1

1820 Corlies Ave
Suite 10A
Neptune City, NJ 07753
Phone (888) 985-2727 ext. 610

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2018.

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1750680948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 ROUTE 70 E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342240",
            "telephone_number": "888-985-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ROUTE 70 E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342240",
            "telephone_number": "888-985-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Corlies Ave",
            "address_2": "Suite 10A",
            "address_purpose": "LOCATION",
            "city": "Neptune City",
            "state": "NJ",
            "postal_code": "07753",
            "country_code": "US",
            "telephone_number": "888-985-2727 x610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "JOHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA09904000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.