Organization Active NPI

Rejens Medical Group, PLLC

  • Internal Medicine Physician
  • Shoreline, WA
National Provider Identifier
1902437403
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
REJENS MEDICAL GROUP, PLLC
Practice address
19312 Kings Garden Dr N
Shoreline, WA 98133
Phone
(206) 546-7340
Fax
(206) 289-7816
NPI assigned
Feb 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Reena Eshwar, MDNPI 1356517213
Title
Owner
Phone
(760) 889-6183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

19312 Kings Garden Dr N
Shoreline, WA 98133

Mailing address

14241 NE Woodinville Duvall Rd # 354
Woodinville, WA 98072-8564
Phone (760) 889-6183

National Provider Directory

National Provider Directory

Locations

19312 Kings Garden Dr N
Shoreline, WA 98133
Phone (206) 546-7340

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1902437403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 NE WOODINVILLE DUVALL RD # 354",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728564",
            "telephone_number": "760-889-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19312 KINGS GARDEN DR N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "98133",
            "telephone_number": "206-546-7340",
            "fax_number": "206-289-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJENS MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "ESHWAR",
        "authorized_official_first_name": "REENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-889-6183",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.