DEREK J REYNOLDS


Address: 183 Park St, Suite 7, Malone, NY 12953-1238
Phone: 5184812801

DEREK J REYNOLDS (NPI# 1285074054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285074054
Entity Type Individual
Full Name DEREK J REYNOLDS
Credential FNP
Practice Address 183 Park St
Suite 7
Malone
NY 12953-1238
Mailing Address 908 Niagara Falls Blvd
Suite 208
North Tonawanda
NY 14120-2019
Practice Telephone 5184812801
Practice Fax Number 5184812486
Mailing Telephone 7166923302
Mailing Fax Number 7163323525
Enumeration Date 2013-06-26
Last Update Date 2013-06-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F338090-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers DEREK REYNOLDS

NPI Name Taxonomy Address Enumeration
1154893220 Derek J Reynolds Pharmacist 572 32 Rd, Clifton, CO 81520-7606 2018-12-29

Office Location

Street Address 183 PARK ST
SUITE 7
City MALONE
State NY
Zip Code 12953-1238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134107600 Myrna A Sanchez-latreille Internal Medicine 183 Park St, Suite 5, Malone, NY 12953-1238 2006-01-05
1780235622 Jennifer Lynn Shull Nurse Practitioner 183 Park St, Malone, NY 12953-1242 2019-09-23
1578123139 Tammy Marie Coffey Physician Assistant 183 Park St, Malone, NY 12953-1242 2019-06-17
1558659367 Dragos Banu Internal Medicine 183 Park St, Malone, NY 12953-1238 2011-07-13
1639465941 Erika A Thompson Physician Assistant 183 Park St, Suite 5 & 6, Malone, NY 12953-1238 2011-06-24
1528357274 Pierre Dominique Mechali Urology 183 Park St, Suite 3, Malone, NY 12953-1238 2011-04-04
1265671663 Sonia R Jospeh D.o. Pllc Obstetrics & Gynecology 183 Park St, Suite 1, Malone, NY 12953-1238 2009-02-10
1780623439 Margaret Lowell Nurse Practitioner 183 Park St, Suite 5, Malone, NY 12953-1238 2006-06-06
1033165956 Myrna Sanchez Specialist 183 Park St, Suite 5, Malone, NY 12953-1238 2006-05-25
1275594665 Emile Benardot Pediatrics 183 Park St, Suite 2, Malone, NY 12953-1238 2006-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386264356 Ruth Ann Williamson Nurse Practitioner 31 Sixth St., Malone, NY 12953 2020-04-20
1780203760 Heather Lynn Lauzon Peer Specialist 15 Fouth St, Malone, NY 12953 2020-04-10
1245717115 Darlean James Family Medicine 183 Park St Ste 5678, Malone, NY 12953 2018-07-24
1164929212 Cheryl Ann Grant Registered Nurse 15 Fourth Street, Malone, NY 12953 2018-04-06
1811408826 Nancy Denis Registered Nurse 133 Park Street, Alice Hyde Medical Center, Malone, NY 12953 2017-10-17
1003325424 Tara Lynn Ellis Registered Nurse 23 Husky Lane, Malone, NY 12953 2017-09-28
1578092185 Shanna Lee Cayea Peer Specialist 31 6th Street, Malone, NY 12953 2017-06-07
1184007809 Alice Hyde Medical Center Home Health 45 Sixth St, Malone, NY 12953 2015-06-30
1427303353 Melissa J Benardot Nurse Practitioner 380 Cty Rt 57, Community Health Center, Malone, NY 12953 2012-07-17
1013272202 Shafiu Oladele Ololade Internal Medicine 10 Third Street, Malone, NY 12953 2012-07-12
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336179365 Stephanie Leffler Nurse Practitioner 183 Park Street, Suite 5, Malone, NY 12953 2006-07-04
1811537608 Qi Si Xue Nurse Practitioner 133 Park St, Malone, NY 12953-1244 2020-01-09
1487170882 Stacy Ann Mckenzie- Harvey Nurse Practitioner 45 6th St, Malone, NY 12953-1247 2017-08-17
1699127795 Brianne Jeror Nurse Practitioner 133 Park St, Malone, NY 12953-1244 2016-07-13
1598148967 Joshua A Craig Nurse Practitioner 133 Park St, Malone, NY 12953-1243 2015-07-03
1194107789 Jessica Marie Robinson Nurse Practitioner 133 Park St, Malone, NY 12953-1243 2015-06-19
1790799898 Brenda Lepage Nurse Practitioner 133 Park St, Malone, NY 12953-1220 2006-07-27
1528091436 Mary Reilly Mcgonagle Nurse Practitioner 133 Park St, Malone, NY 12953-1243 2006-07-07
1407815699 Barbara Jo Sherwin Nurse Practitioner 155 Finney Blvd, Cp of The North Country, Malone, NY 12953 2006-03-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184225880 Aleksandr Gurgov Nurse Practitioner 740 E 9th St, Brooklyn, NY 11230-2202 2020-11-08
1437750171 Dana Alberico Lonis Nurse Practitioner 246 Waldorf Pkwy, Syracuse, NY 13224-2118 2020-11-07
1396346136 Amarachukwu U Egbujor Nurse Practitioner 565 Pine St, Brooklyn, NY 11208-3901 2020-11-06
1568063378 Valerie Cantave Nurse Practitioner 152 Somerset Dr, Suffern, NY 10901-6904 2020-11-06
1366043259 Lora Hong Nurse Practitioner 55 Underhill Rd, Scarsdale, NY 10583-1040 2020-11-05
1235730102 Lane Marie Knight Nurse Practitioner 8145 Rapallo Way, Clay, NY 13041-8893 2020-11-05
1073114112 Karen Liu Nurse Practitioner 154 Bay 35th St, Brooklyn, NY 11214-5308 2020-11-04
1871194027 Wai Ying Chan Nurse Practitioner 659 Britton Ave, Staten Island, NY 10304-4463 2020-11-04
1063013258 Iris Massiel Garcia Nurse Practitioner 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 2020-11-04
1104427525 Jeanine R Williams Nurse Practitioner 4213 Foster Ave, Brooklyn, NY 11203-5711 2020-11-03
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Competitor

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City MALONE
Zip Code 12953

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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