Dr. Jerome E. Reeves, DPM, PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

N005132 Issued in NY

Legal business name

DR. JEROME E. REEVES, DPM, PLLC

Practice address

205-07 Hillside Avenue
Suite 15
Hollis, NY 11423

Phone

(718) 479-5747

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerome E. Reeves, D.P.M.NPI 1588624902

Title

Podiatric Physician

Phone

(718) 479-5747

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerome E. Reeves, DPM

  • Foot Surgery Podiatrist
  • Hollis, NY
  • NPI 1588624902
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1861676884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8451 BEVERLY RD",
            "address_2": "2T",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152123",
            "telephone_number": "718-441-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205-07 HILLSIDE AVENUE",
            "address_2": "SUITE 15",
            "city": "HOLLIS",
            "state": "NY",
            "postal_code": "11423",
            "telephone_number": "718-479-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JEROME E. REEVES, DPM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PODIATRIC PHYSICIAN",
        "authorized_official_telephone_number": "718-479-5747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N005132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01502038 1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Charles C. Edwards, M.D.
• Eme Ekpo, R.N.

• Durable Medical Equipment & Medical Supplies in Hollis, NY
• Providers in Hollis, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.