Individual provider Active NPI

Rey Taneo Villanobos, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Somerset, NJ
National Provider Identifier
1023049558
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
25MA06428100 Issued in NJ
Practice address
9 Clyde Rd Ste 102
Somerset, NJ 08873-5036
Phone
(732) 828-2030
Fax
(732) 828-2043
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 25MA06428100 NJ Primary

Addresses

Primary practice location

9 Clyde Rd Ste 102
Somerset, NJ 08873-5036

Mailing address

36 Muirfield Blvd
Monroe Township, NJ 08831-5150
Phone (732) 656-9287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031126000153 NJ Practitioner - EndocrinologyPractitioner - Internal Medicine 0941104368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

36 Muirfield Blvd
Monroe, NJ 08831-5150

9 Clyde Rd
Suite 102
Somerset, NJ 08873-5036
Phone (732) 828-2030

Hospital & facility affiliations

  • Raritan Bay Medical Center Hospital, Perth Amboy, NJ, CCN 310039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06428100NJMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rey T. Villanobos MD, LLC Single Specialty CurrentSince Apr 28, 2013 Accepting new patients

Locations

9 Clyde Rd
Ste 102
Somerset, NJ 08873
Phone (732) 828-2030

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1023049558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MUIRFIELD BLVD",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088315150",
            "telephone_number": "732-656-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CLYDE RD STE 102",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735036",
            "telephone_number": "732-828-2030",
            "fax_number": "732-828-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANOBOS",
        "first_name": "REY",
        "middle_name": "TANEO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NJ",
            "license": "25MA06428100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

Verify at the official NPI Registry.