Healthcare Provider Details

I. General information

NPI: 1669989372
Provider Name (Legal Business Name): GREGORY RECHNER PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2018
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1935 ROUTE 70 E
CHERRY HILL NJ
08003-2117
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 856-428-7700
  • Fax: 856-325-4196
Mailing address:
  • Phone: 856-355-7176
  • Fax: 856-762-1249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number25MP00466000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: