Active NPI
Emily Reichenbach
- Family Nurse Practitioner
- Northfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ14842000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ14842000 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Health Marlton LLC | Current | Accepting new patients | |
| Regenerative Medicine of South Jersey LLC | Current | Accepting new patients | |
| Active Health Marmora LLC | Current | Accepting new patients | |
| Hospice at Lsmnj, Inc. | Current | Accepting new patients | |
| Active Health Northfield LLC | Current | 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.
-
- Community Based Hospice Care Agency
- Egg Harbor Township, NJ
- NPI 1275047706
NJ
-
- Family Medicine Physician
- Rio Grande, NJ
- NPI 1992342109
NJ
-
- Family Medicine Physician
- Northfield, NJ
- NPI 1992434625
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.