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

Mr. Jorge Luis Reynoso, PA

Individual provider Surgical Physician Assistant · NPI 1538317144

Mr. Jorge Luis Reynoso, PA is a Surgical Physician Assistant in Newburgh, New York. Practices as a sole proprietor. Licensed in Connecticut and New York.

Licensed in
CT, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

70 Dubois St
Newburgh, NY 12550-4851
Phone: (845) 458-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 012742 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3348 (CT)

Record details

NPI number1538317144
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 8, 2008
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022

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