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

Joshua Reyes

Individual provider Surgical Physician Assistant · NPI 1154969053

Joshua Reyes is a Physician Assistant in Bronx, New York. Qualified in 2019, 7 years ago. Practices with Pratt Surgical Associates Inc, a 43-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 930-5731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 024645 (NY)

Record details

NPI number1154969053
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 11, 2019
Last updated in NPPESApril 20, 2022
Certification dateApril 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Pratt Surgical Associates Inc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bronx