Individual provider Active NPI

Kenneth Marshall Reid, MD

  • Anesthesiology Physician
  • Brick, NJ
National Provider Identifier
1861421851
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA06224700 Issued in NJ
Practice address
425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone
(732) 840-3376
NPI assigned
Jul 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA06224700 NJ Primary

Addresses

Primary practice location

425 Jack Martin Blvd
Brick, NJ 08724-7732

Mailing address

255 W Michigan Ave
PO Box 1123
Jackson, MI 49201-2218
Phone (517) 787-6440

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110311000170 NJ Practitioner - Anesthesiology 2264459411 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Hahnemann University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James Marc Schlesinger MD PCGroup PAC ID 7012218571, 2 clinicians
Shrewsbury Ambulatory Anesthesia LLCGroup PAC ID 4385899962, 141 clinicians

Practice addresses (Care Compare)

18 Mule Rd
Toms River, NJ 08755-5028
Phone (469) 206-8251

3695 Hill Rd
Parsippany, NJ 07054-1047
Phone (732) 264-1127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06224700NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campus Eye Group ASC, LLC Current Accepting new patients
Total Eye Care Centers, PC CurrentSince Dec 24, 2023 Accepting new patients
NJ Cataract and Laser Institute CurrentSince May 13, 2022 Accepting new patients
Allied Digestive Health, LLC Anesthesiology CurrentSince Jan 1, 2015 Accepting new patients
New Jersey Anesthesia Professionals LLC Anesthesiology CurrentSince Dec 1, 2018 Accepting new patients
Campus Eye Group, LLC Current Accepting new patients
James Marc Schlesinger MD PC Anesthesiology CurrentSince Jun 1, 2018 Accepting new patients
Campus Eye Group, LLC Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Total Eye Care Centers PC CurrentSince Dec 24, 2023 Accepting new patients
Coastal Surgery Center, LLC Past Accepting new patients
Morris Anesthesia Group, PA Past Accepting new patients
Trenton Anesthesiology Associates PA Anesthesiology PastSince Oct 1, 2004 Accepting new patients
Atlantic Coast Gastroenterology Associates Past Accepting new patients
Ocean Perioperative Consultants P.a. Anesthesiology Past Accepting new patients
Ambulatory Anesthesia Physicians, LLC Past Accepting new patients

Locations

495 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 836-9800

619 River Dr
Elmwood Park, NJ 07407
Phone (201) 703-2900

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

101 Prospect St
Ste 102
Lakewood, NJ 08701
Phone 732367063815

2495 US Highway 1
Ste 8
Lawrenceville, NJ 08648
Phone (609) 882-2888

1944 Corlies Ave
Ste 205
Neptune, NJ 07753
Phone (732) 776-9300

18 Mule Rd
Toms River, NJ 08755
Phone (201) 703-2900

1700 Whitehorse Hamilton Square Rd
Ste A1
Trenton, NJ 08690
Phone (215) 781-2020

1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

1568 Woodbourne Rd
Levittown, PA 19057
Phone (215) 943-7800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861421851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "address_2": "PO BOX 1123",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "517-787-6440",
            "fax_number": "517-787-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 JACK MARTIN BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247732",
            "telephone_number": "732-840-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "KENNETH",
        "middle_name": "MARSHALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06224700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.