Active NPI
Ruby Carina Reyes, M.D.
- Specialist
- Edison, NJ
National Provider Identifier
1093784050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA05279600
- Practice address
- 1740 Oak Tree Rd
Edison, NJ 08820-2847 - Phone
- (732) 906-1717
- Fax
- (732) 906-1781
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA05279600 | NJ | Primary |
Addresses
Primary practice location
1740 Oak Tree Rd
Edison, NJ 08820-2847
Mailing address
1740 Oak Tree Rd
Edison, NJ 08820-2847
Phone (732) 906-1717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 558000 | Medicaid | NJ |
Other names 1
- Dr. Ruby Carina E Reyes
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA05279600 | NJ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult & Pediatric Allergist of Central Jersey PA | Current | Accepting new patients |
Locations
1740 Oak Tree Rd
Edison, NJ 08820
Phone (732) 494-5000
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.
-
- Allergy & Immunology Physician
- Edison, NJ
- NPI 1629131651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093784050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 OAK TREE RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202847",
"telephone_number": "732-906-1717",
"fax_number": "732-906-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 OAK TREE RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088202847",
"telephone_number": "732-906-1717",
"fax_number": "732-906-1781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "RUBY",
"middle_name": "CARINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "MA05279600",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "558000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RUBY CARINA",
"last_name": "REYES",
"middle_name": "E",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.