Yvette Altagracia Reynoso

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

221487364 Issued in NJ

Practice address

655 Westfield Ave
Elizabeth, NJ 07208-1398

Phone

(908) 352-8375

Fax

(908) 352-8858

NPI assigned

Aug 28, 2019

Last updated

Aug 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1942858527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 COOLIDGE PL",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011307",
            "telephone_number": "201-245-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 WESTFIELD AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081398",
            "telephone_number": "908-352-8375",
            "fax_number": "908-352-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "YVETTE",
        "middle_name": "ALTAGRACIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "221487364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reliance Care Services
• Nicholas Repice, LSW
• Danna Reyes Herrera, MD
• Jinet Reyes, RPH
• Roland Reyes, CRNA
• Labib E. Riachi, MD
• Jerome A. Ricciardi, DPM
• Richard M. Goldrosen, OD
• Pearl B Ricklis, LCSW
• Guillermo Riestra

• Student in an Organized Health Care Education/Training Program in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Student in an Organized Health Care Education/Training Program in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.