Tyrone K. Reyes
Pediatric Emergency Doctor
150 Bergen St Pediatric E.r.
Newark
, New Jersey 07103-2496
Tyrone K. Reyes
Pediatric Emergency Doctor
150 Bergen St Pediatric E.r.
Newark
, New Jersey 07103-2496
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About
Features
Specialties
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Tyrone K. Reyes
- 30 Bergen St Admc 12 1205
- Newark, NJ
- Zip : 07107-3000
- Phone :
Second Address
- Tyrone K. Reyes
- 150 Bergen St Pediatric E.r.
- Newark, NJ
- Zip : 07103-2496
- Fax : (973) 972-5965
- Phone : (973) 972-5139
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0204X | Pediatric Emergency Doctor | 25MA05799300 | NJ |
National Provider Identifier
| NPI | 1053463810 |
|---|---|
| Provider Name | Tyrone K. Reyes |
| First Address | Newark, NJ 07107-3000 |
| Second Address | Newark, NJ 07103-2496 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2007 |
| Last Update Date | 20/08/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5658403 | (05) | NJ |
| G47467 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.