Johan Reyes (NPI# 1750680948, PAC ID# 9335435692) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1750680948 |
| PAC ID by PECOS | 9335435692 |
| Professional Enrollment ID | I20160913000866 |
| Full Name | Johan Reyes |
| Organization Legal Name | ADVANCED SPINE AND PAIN LLC |
| Address |
1030 Kings N Hwy 200 Cherry Hill NJ 08034-1907 |
| Phone Number | 8889852727 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 0648358234 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310073 | JERSEY SHORE UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1030 Kings N Hwy 200, Cherry Hill, NJ 08034-1907 | 8889852727 | ADVANCED SPINE AND PAIN LLC |
| 501 N Lansdowne Ave, Drexel Hill, PA 19026-1114 | 8889852727 | ADVANCED SPINE AND PAIN LLC |
| 2 8th St, Hammonton, NJ 08037-3347 | 8889852727 | ADVANCED SPINE AND PAIN LLC |
| 9815 Roosevelt Blvd, Philadelphia, PA 19114-1035 | 8889852727 | ADVANCED SPINE AND PAIN LLC |
| Organization Legal Name | ADVANCED SPINE AND PAIN LLC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrienne Lauren Rinaldi | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Amy Marie Fletcher | Nurse Practitioner | Advanced Spine and Pain LLC | 1030 Kings N Hwy 200, Cherry Hill, NJ 08034-1907 |
| Teresa L Cassidy | Nurse Practitioner | Advanced Spine and Pain LLC | 700 E Township Line Rd, Fl 1, Havertown, PA 19083-5733 |
| Chioma A Ezeadichie | Physical Medicine and Rehabilitation | Advanced Spine and Pain LLC | 2 8th St, Hammonton, NJ 08037-3347 |
| Ashley M Roncone | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Victoria Schenk Newbold | Nurse Practitioner | Advanced Spine and Pain LLC | 2 8th St, Hammonton, NJ 08037-3347 |
| Addison Haskins | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Russell Abrams | Neurology | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Peter G Pryzbylkowski | Pain Management | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Ijeoma C Menkiti | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Street Address |
1030 KINGS N HWY 200 |
| City | CHERRY HILL |
| State | NJ |
| Zip | 08034-1907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Marie Fletcher | Nurse Practitioner | Advanced Spine and Pain LLC | 1030 Kings N Hwy 200, Cherry Hill, NJ 08034-1907 |
| Russell Little | Nurse Practitioner | Advanced Spine and Pain LLC | 1030 Kings N Hwy 200, Cherry Hill, NJ 08034-1907 |
| Shailen Jalali | Interventional Pain Management | Advanced Spine and Pain LLC | 1030 Kings N Hwy 200, Cherry Hill, NJ 08034-1907 |
| Maryann E Masci | Nurse Practitioner | Advanced Spine and Pain LLC | 1030 Kings N Hwy 200, Cherry Hill, NJ 08034-1907 |
| Shawn Puri | Pain Management | Advanced Spine and Pain LLC | 1030 Kings N Hwy 200, Cherry Hill, NJ 08034-1907 |
| Samantha Witt | Nurse Practitioner | Advanced Spine and Pain LLC | 1030 Kings N Hwy 200, Cherry Hill, NJ 08034-1907 |
| Emily Rhee | Nurse Practitioner | Advanced Spine and Pain LLC | 1030 Kings N Hwy 200, Cherry Hill, NJ 08034-1907 |
| Lisa Paul | Nurse Practitioner | Advanced Spine and Pain LLC | 1030 Kings N Hwy 200, Cherry Hill, NJ 08034-1907 |
| Keith P Radbill | General Practice | Advanced Spine and Pain LLC | 1030 Kings N Hwy 200, Cherry Hill, NJ 08034-1907 |
| John J Park | Interventional Pain Management | Advanced Spine and Pain LLC | 1030 Kings N Hwy 200, Cherry Hill, NJ 08034-1907 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy J Hogan | Nurse Practitioner | Cooper Physician Offices Pa | 501 N Kings Hwy, Cherry Hill, NJ 08034 |
| Iris Shihong | Hospitalist | Cooper Physician Offices Pa | 1103 N Kings Hwy 203, Cherry Hill, NJ 08034 |
| Richard Md Molino | Internal Medicine | 303 Kings S Hwy 1, Cherry Hill, NJ 08034 | |
| Adam Schindelheim | Physical Medicine and Rehabilitation | Cooper Physical Medicine and Rehabilitation Associates PC | 1103 N King Hwy, Suite 102, Cherry Hill, NJ 08034 |
| Kathryn R Suarez | Obstetrics/gynecology | Cooper Faculty Ob Gyn PC | 1103 N Kings Hwy, Suite 201, Cherry Hill, NJ 08034 |
| Jason T Pecarsky | Internal Medicine | Advocare LLC | 1401 E Rt, 70 Suite 16, Cherry Hill, NJ 08034 |
| Mary J Monari-sparks | Internal Medicine | Cooper Physician Offices Pa | 1103 N Kings Hwy 203, Cherry Hill, NJ 08034 |
| Stephen J Cohen | Physical Medicine and Rehabilitation | Cooper Physical Medicine and Rehabilitation Associates PC | 1103 N King Hwy, Suite 102, Cherry Hill, NJ 08034 |
| Allan J. Falescky | Hospitalist | Cooper Physician Offices Pa | 1103 N Kings Hwy 203, Cherry Hill, NJ 08034 |
| Olga M Schweiker | Internal Medicine | Cooper Physician Offices Pa | 1103 N Kings Hwy 203, Cherry Hill, NJ 08034 |
| Find all physicians in zip 08034 | |||
| City | CHERRY HILL |
| Zip Code | 08034 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | CHERRY HILL + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Johan Reyes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.