Active NPI
Cheryl S Reid, M.D.
- Clinical Genetics (M.D.) Physician
- Moorestown, NJ
National Provider Identifier
1841291291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- 25MA03844200
- Practice address
- 5 Eaglebrook CT
Moorestown, NJ 08057-2137 - Phone
- (856) 802-9478
- Fax
- (856) 439-0006
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Genetics (M.D.) Physician | 207SG0201X | 25MA03844200 | NJ | Primary |
Addresses
Primary practice location
5 Eaglebrook CT
Moorestown, NJ 08057-2137
Mailing address
5 Eaglebrook CT
Moorestown, NJ 08057-2137
Phone (856) 802-9478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831500 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03844200 | NJ | MD | Clinical Genetics (M.D.) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1841291291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 EAGLEBROOK CT",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080572137",
"telephone_number": "856-802-9478",
"fax_number": "856-439-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 EAGLEBROOK CT",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080572137",
"telephone_number": "856-802-9478",
"fax_number": "856-439-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "CHERYL",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0201X",
"taxonomy_group": "",
"desc": "Medical Genetics, Clinical Genetics (M.D.)",
"state": "NJ",
"license": "25MA03844200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831500",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.