Individual provider Active NPI

Emmanuel Reyes, MD

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1174592521
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA65301 Issued in NJ
Practice address
110 Clifton Ave
Suite a
Clifton, NJ 07011-1426
Phone
(973) 594-8444
Fax
(973) 773-4491
NPI assigned
Mar 17, 2006
Last updated
Jan 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA65301 NJ Primary

Addresses

Primary practice location

110 Clifton Ave
Suite a
Clifton, NJ 07011-1426

Mailing address

PO Box 4036
Clifton, NJ 07012-0436
Phone (973) 594-8444

Other identifiers 1

IdentifierTypeStateIssuer
7464703MedicaidNJ

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
I20050310000278 NJ Practitioner - Internal Medicine 2264486430 Practice locations: Clifton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1100 Clifton Ave
Suite a
Clifton, NJ 07013-3631
Phone (973) 594-8444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA65301NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arnold M. Alday, MD, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: emmanuelreyes@ermd.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1174592521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4036",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070120436",
            "telephone_number": "973-594-8444",
            "fax_number": "973-773-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CLIFTON AVE",
            "address_2": "SUITE A",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111426",
            "telephone_number": "973-594-8444",
            "fax_number": "973-773-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA65301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7464703",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.