Organization Active NPI

Carlos Rueda

  • Internal Medicine Physician
  • Port Chester, NY
National Provider Identifier
1245192632
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARLOS RUEDA
Practice address
25 S Regent St
Port Chester, NY 10573-3512
Phone
(917) 972-6771
Fax
(914) 840-1281
NPI assigned
Nov 24, 2025
Organization subpart
Yes
Parent organization
CARLOS RUEDAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Dr. Carlos Rueda, MD MBA
Title
Medical Director
Phone
(917) 972-6771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

25 S Regent St
Port Chester, NY 10573-3512

Mailing address

25 S Regent St
Port Chester, NY 10573-3512
Phone (917) 972-6771

Other names 1

  • PMC Other name

National Provider Directory

National Provider Directory
Part of
Carlos Rueda

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1245192632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S REGENT ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105733512",
            "telephone_number": "917-972-6771",
            "fax_number": "914-840-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S REGENT ST",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "105733512",
            "telephone_number": "917-972-6771",
            "fax_number": "914-840-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS RUEDA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARLOS RUEDA",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "RUEDA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-972-6771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MBA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Chester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.