Active NPI
Jonathan Villaroman Reyes, M.D.
- Pediatrics Physician
- Edison, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA07160300
- Practice address
- 2 Lincoln Hwy Ste 500
Edison, NJ 08820-3961 - Phone
- (732) 516-9868
- NPI assigned
- Jul 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA07160300 | NJ | Primary |
Addresses
Primary practice location
2 Lincoln Hwy Ste 500
Edison, NJ 08820-3961
Mailing address
2 Lincoln Hwy Ste 500
Edison, NJ 08820-3961
Phone (732) 516-9868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA07160300 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Pediatrics, PC | Pediatrics | Current | Accepting new patients |
| The Radiology Group of New Jersey, LLC | Current | Accepting new patients | |
| Kinder Pediatric Care LLC | Current | Accepting new patients | |
| Ila Sukhadia, Medical, P.C. | Past | Accepting new patients | |
| Rutgers Health-RWJ Pediatric Critical Care | Pediatrics | Past | Accepting new patients |
| Monmouth Digestive Health LLC | Past | Accepting new patients | |
| Middlesex Emergency Physicians, P.a. | Emergency Medicine | Past | Accepting new patients |
Locations
145 Wyckoff Rd
Ste 201
Eatontown, NJ 07724
Phone (732) 597-7333
2 State Route 27
Ste 500
Edison, NJ 08820
Phone (732) 516-9868
2 State Route 27
Ste 510
Edison, NJ 08820
Phone (732) 516-9868
57 US Highway 46
Ste 212
Hackettstown, NJ 07840
651 Willow Grove St
Hackettstown, NJ 07840
Phone (908) 441-1161
175 High St
Newton, NJ 07860
Phone (973) 383-2121
567 Fischer Blvd
Toms River, NJ 08753
Phone (732) 280-2727
565 Fischer Blvd
Toms River, NJ 08753
Phone (732) 506-6868
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Hackettstown, NJ
- NPI 1174010540
-
- Primary Care Clinic/Center
- Metuchen, NJ
- NPI 1225768104
-
- Emergency Medicine Physician
- Edison, NJ
- NPI 1811921760
-
- Gastroenterology Physician
- Eatontown, NJ
- NPI 1831721232
-
- Pediatrics Physician
- New Brunswick, NJ
- NPI 1518901768
-
- Medical Specialty Clinic/Center
- Staten Island, NY
- NPI 1942461967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1780602177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 LINCOLN HWY STE 500",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203961",
"telephone_number": "732-516-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 LINCOLN HWY STE 500",
"city": "EDISON",
"state": "NJ",
"postal_code": "088203961",
"telephone_number": "732-516-9868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "JONATHAN",
"middle_name": "VILLAROMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA07160300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.