Individual provider Active NPI

Emily Reichenbach

  • Family Nurse Practitioner
  • Northfield, NJ
National Provider Identifier
1942986336
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14842000 Issued in NJ
Practice address
1612 Tilton Rd
Northfield, NJ 08225-1829
Phone
(609) 277-2477
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14842000 NJ Primary

Addresses

Primary practice location

1612 Tilton Rd
Northfield, NJ 08225-1829

Mailing address

2033 Shoshoni Dr
Hammonton, NJ 08037-9129
Phone (609) 457-0862

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220002586 NJ Practitioner - Nurse Practitioner 2163872920 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Hospice at Lsmnj, Inc.Group PAC ID 1759642234, 5 clinicians

Practice addresses (Care Compare)

6712 Washington Ave
Suite 302
Egg Harbor Township, NJ 08234-1999
Phone (609) 380-4302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14842000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Active Health Marlton LLC CurrentSince Jan 1, 2024 Accepting new patients
Regenerative Medicine of South Jersey LLC CurrentSince Oct 16, 2023 Accepting new patients
Active Health Marmora LLC CurrentSince Jan 1, 2024 Accepting new patients
Hospice at Lsmnj, Inc. CurrentSince Feb 20, 2024 Accepting new patients
Active Health Northfield LLC CurrentSince Jun 25, 2023 Accepting new patients

Locations

3 Manhattan Dr
Burlington, NJ 08016
Phone (609) 386-7171

6712 Washington Ave
Ste 302
Egg Harbor Township, NJ 08234
Phone (609) 380-4302

601 Route 73 N
Ste 104
Marlton, NJ 08053
Phone (609) 886-8585

16 Roosevelt Blvd
Marmora, NJ 08223
Phone (609) 272-0909

1317 Route 73
Ste 101
Mount Laurel, NJ 08054
Phone (609) 886-8039

1612 Tilton Rd
Northfield, NJ 08225
Phone (609) 277-2477

1501 Route 47
Rio Grande, NJ 08242
Phone (609) 224-1576

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1942986336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 SHOSHONI DR",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080379129",
            "telephone_number": "609-457-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 TILTON RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251829",
            "telephone_number": "609-277-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHENBACH",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14842000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NJ

Sources for this page

Verify at the official NPI Registry.