MRS. MARY ELIZABETH REIMUNDO PA-C
NPI 1124235023
Physician Assistant in Avenel, NJ

Active since May 17, 2007PECOS Enrolled
1030 ST GEORGES AVE, STE 103A, AVENEL, NJ 07001(732) 596-0155 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Jul 29, 2017 (2 updates tracked since 2017).

About Mrs. Mary Elizabeth Reimundo Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY ELIZABETH REIMUNDO PA-C (NPI 1124235023) is an individual physician assistant in Avenel, New Jersey, licensed in New Jersey (25MP00108700) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Clifton.

NPPES Registry Identity

NPI1124235023
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MARY ELIZABETH REIMUNDOCredential: PA-C
Location Address1030 ST GEORGES AVE, STE 103AAvenel, NJ 07001
Mailing Address331 Newman Springs Rd, Bldg 2, Ste 220Red Bank, NJ 07701-5688
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
NPI 1124235023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NJ · 25MP00108700
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1030 ST GEORGES AVE, Avenel, NJ 07001

Secondary Practice Location 1

Location 1999 Clifton AveClifton, NJ 07013-2711 · Phone (973) 777-7879 · Fax (973) 777-6738

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Mary Elizabeth Reimundo Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
1030 ST GEORGES AVE
AVENEL, NJ 07001
Internal Medicine (Hematology & Oncology)
1030 ST GEORGES AVE, SUITE 307
AVENEL, NJ 07001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Reimundo's NPI number?

The NPI number for Mary Reimundo is 1124235023. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Mary Reimundo located?

Mary Reimundo practices at 1030 St Georges Ave Ste 103A, Avenel, NJ 07001. The listed phone number is (732) 596-0155.

What is Mary Reimundo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Reimundo enrolled in Medicare?

Yes. Mary Reimundo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Reimundo was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.