Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genill Reynoso, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1558829341

Genill Reynoso, FNP-BC is a Nurse Practitioner in New York, New York. Qualified in 2025, 1 year ago. Works from 2 locations and accepts Medicare assignment. Licensed in California, Connecticut, New Jersey and New York.

Years since qualifying
1
Licensed in
CA, CT, NJ, NY
In the registry since
2019
Specialties on file
6
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

4405 Broadway
New York, NY 10040
Phone: (212) 740-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4405 Broadway, New York, NY 10040 — (212) 740-2020

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ01151200 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 16105 (CT)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 407674 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F343720-1 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95021583 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ01151200 (NJ)

Record details

NPI number1558829341
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMarch 11, 2019
Last updated in NPPESMay 23, 2026
Certification dateMay 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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