Active NPI
Carlos Rueda
- Internal Medicine Physician
- Port Chester, NY
National Provider Identifier
1245192632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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 RUEDA
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
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.