YENNY REYNOSO NPI 1568900405

NPI Information

  • NPI: 1568900405
  • Provider Name: YENNY REYNOSO
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 335 PASSAIC ST
    PASSAIC, NJ
    ZIP 07055
  • Phone: (973) 779-5554

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NPI Details

Yenny Reynoso is a family nurse practitioner in Passaic, NJ with 3 years of experience. Yenny Reynoso NPI is 1568900405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

335 PASSAIC ST
PASSAIC, NJ
ZIP 07055-818
Phone: (973) 779-5554

The NPI 1568900405 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/10/2017 and was last updated on 10/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse26NR18609800NEW JERSEYNo
2363LF0000XNurse PractitionerFamily26NJ14908500NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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