Individual provider Active NPI

Cecilia V. Reyes, APN

  • Family Nurse Practitioner
  • Fairfield, NJ
National Provider Identifier
1811214943
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00279300 Issued in NJ
Practice address
50 Fairfield Rd
Fairfield, NJ 07004-2414
Phone
(973) 808-5550
Fax
(973) 808-5999
NPI assigned
Apr 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00279300 NJ Primary

Addresses

Primary practice location

50 Fairfield Rd
Fairfield, NJ 07004-2414

Mailing address

363 Meisel Ave
Springfield, NJ 07081-2315
Phone (973) 218-0846

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110609000289 NJ Practitioner - Nurse Practitioner 5799962254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union County Health Care Associates LLCGroup PAC ID 2163450958, 19 clinicians

Practice addresses (Care Compare)

2005 Saint Georges Ave
Rahway, NJ 07065-2007
Phone (732) 381-3740

300 S Ave
Garwood, NJ 07027-1312

33 Overlook Rd
Suite 304
Summit, NJ 07901-3563
Phone (732) 381-3740

Hospital & facility affiliations

  • Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1811214943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 MEISEL AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812315",
            "telephone_number": "973-218-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FAIRFIELD RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042414",
            "telephone_number": "973-808-5550",
            "fax_number": "973-808-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "CECILIA",
        "middle_name": "V.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00279300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

Verify at the official NPI Registry.