Active NPI
Rey Fernando Pedraza Ramos, M.D.
- Family Medicine Physician
- West New York, NJ
National Provider Identifier
1124077219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MA074676
- Practice address
- 5301 Broadway
West New York, NJ 07093-2622 - Phone
- (201) 866-9320
- Fax
- (201) 392-9084
- NPI assigned
- May 8, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MA074676 | NJ | Primary |
Addresses
Primary practice location
5301 Broadway
West New York, NJ 07093-2622
Mailing address
15 MSGR Wojtycha Dr
Jersey City, NJ 07305-4891
Phone (201) 451-4308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8930601 | Medicaid | NJ |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
506 Broadway
Bayonne, NJ 07002-3712
Phone (201) 471-7012
935 River Rd
Suite 301
Edgewater, NJ 07020-2233
Phone (201) 471-7012
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.15 of 100
- Quality
- 71.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA074676 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Riverview Healthcare Associates | Family Medicine | Past | Accepting new patients |
| HMH Hospitals Corporation | Past | Accepting new patients | |
| HMH Hospitals Corporation | Past | Accepting new patients | |
| Jose B. Ecal, M.D.P.a. | Past | Accepting new patients | |
| A.G. Dikengil, MD, PA | Past | Accepting new patients |
Locations
935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012
1 Harmon Plz
Fl 10
Secaucus, NJ 07094
Phone (201) 636-7233
Organizations & group practices 7
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.
-
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- Radiology Clinic/Center
- Lyndhurst, NJ
- NPI 1205992690
-
- General Acute Care Hospital
- Hackensack, NJ
- NPI 1457456279
-
- General Acute Care Hospital
- North Bergen, NJ
- NPI 1730692344
-
- Medical Specialty Clinic/Center
- Jersey City, NJ
- NPI 1396934055
-
- Family Medicine Physician
- Union City, NJ
- NPI 1306010335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124077219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 MSGR WOJTYCHA DR",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073054891",
"telephone_number": "201-451-4308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 BROADWAY",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070932622",
"telephone_number": "201-866-9320",
"fax_number": "201-392-9084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS",
"first_name": "REY FERNANDO",
"middle_name": "PEDRAZA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "MA074676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8930601",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.