Individual provider Active NPI

Henry James Ryngel, MD

  • Nephrology Physician
  • Harrison, NJ
National Provider Identifier
1215932280
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA04193400 Issued in NJ
Practice address
28 Harrison Ave
Harrison, NJ 07029-1348
Phone
(973) 484-2929
Fax
(973) 484-4280
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA04193400 NJ Primary

Addresses

Primary practice location

28 Harrison Ave
Harrison, NJ 07029-1348

Mailing address

28 Harrison Ave
Harrison, NJ 07029-1348
Phone (973) 484-2929

Other identifiers 1

IdentifierTypeStateIssuer
5140005MedicaidNJ

Other names 1

  • Dr. Enrique Jacobo Ryngel Professional name

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
I20110525000782 NJ Practitioner - Internal MedicinePractitioner - Nephrology 1557547627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28 Harrison Ave
Harrison, NJ 07029-1348
Phone (973) 484-2929

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry J. Ryngel, MD, PC Nephrology CurrentSince Jan 21, 2011 Accepting new patients

Locations

302 Harrison Ave
Harrison, NJ 07029
Phone (973) 481-1861

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1215932280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HARRISON AVE",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070291348",
            "telephone_number": "973-484-2929",
            "fax_number": "973-484-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 HARRISON AVE",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070291348",
            "telephone_number": "973-484-2929",
            "fax_number": "973-484-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNGEL",
        "first_name": "HENRY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA04193400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5140005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENRIQUE",
            "last_name": "RYNGEL",
            "middle_name": "JACOBO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Harrison, NJ

Sources for this page

Verify at the official NPI Registry.