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JACQUES JOSE LARA REYNA M.D.
NPI 1811495492
Student in an Organized Health Care Education/Training Program in New York, NY

Active since January 29, 2018PECOS Enrolled
1000 10TH AVENUE - MOUNT SINAI WEST, SUITE 5G - 80 DEPARTMENT OF NEUROSURGERY, NEW YORK, NY 10029(212) 363-3784 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Jacques Jose Lara Reyna M.d. NPPES

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

JACQUES JOSE LARA REYNA M.D. (NPI 1811495492) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811495492
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACQUES JOSE LARA REYNACredential: M.D.
Location Address1000 10TH AVENUE - MOUNT SINAI WEST, SUITE 5G - 80 DEPARTMENT OF NEUROSURGERYNew York, NY 10029
Mailing Address614 W 157th St Apt SeNew York, NY 10032 · (917) 544-5136
Phone(212) 363-3784
Sole ProprietorNo
Enumeration DateJanuary 29, 2018
Last NPPES UpdateSeptember 20, 2018
✔ NPI 1811495492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 10TH AVENUE - MOUNT SINAI WEST, New York, NY 10029
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacques Jose Lara Reyna M.d. 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.

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 Jacques Lara Reyna's NPI number?

The NPI number for Jacques Lara Reyna is 1811495492. It was assigned to this individual provider in the NPPES registry on January 29, 2018.

Where is Jacques Lara Reyna located?

Jacques Lara Reyna practices at 1000 10th Avenue - Mount Sinai West Suite 5G - 80 Department Of Neurosurgery, New York, NY 10029. The listed phone number is (212) 363-3784.

What is Jacques Lara Reyna's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jacques Lara Reyna enrolled in Medicare?

Yes. Jacques Lara Reyna is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacques Lara Reyna was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.