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NPI Code Detail

MEDICARE: DR. SANFORD TODD REIKES MD

MEDICARE:  DR. SANFORD TODD REIKES  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician36852KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000222563OTHERKYANTHEM
21161840OTHERKYPASSPORT
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467456384
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANFORD TODD REIKES MD
Provider Business Mailing Address
First Line : 1 DIAMOND HILL RD
Second Line :
City : BERKELEY HEIGHTS
State : NJ
Zip : 07922-2104
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 DIAMOND HILL RD
Second Line :
City : BERKELEY HEIGHTS
State : NJ
Zip : 07922-2104
Country : US
Telephone Number : 908-277-8649
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 04/17/2025

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Directions to “ DR. SANFORD TODD REIKES MD” Practice Location

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