Organization Active NPI

Rey T. Villanobos MD, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Somerset, NJ
National Provider Identifier
1346686516
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
REY T. VILLANOBOS MD, LLC
Practice address
9 Clyde Rd Ste 102
Somerset, NJ 08873-5036
Phone
(732) 828-2030
Fax
(732) 828-2043
NPI assigned
May 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Dr. Rey Taneo Villanobos, MDNPI 1023049558
Title
Managing Member
Phone
(732) 828-2030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

9 Clyde Rd Ste 102
Somerset, NJ 08873-5036

Mailing address

36 Muirfield Blvd
Monroe Township, NJ 08831-5150
Phone (732) 828-2030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130926000673 NJ Part B Supplier - Clinic/Group Practice 9335383694 Receives reassigned benefits from 1 practitioner
Practice locations: Somerset, NJ

National Provider Directory

National Provider Directory

Locations

9 Clyde Rd
Ste 102
Somerset, NJ 08873
Phone (732) 828-2030

888 Easton Ave
Ste 8
Somerset, NJ 08873
Phone (732) 828-2030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1346686516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MUIRFIELD BLVD",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088315150",
            "telephone_number": "732-828-2030",
            "fax_number": "732-828-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CLYDE RD STE 102",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088735036",
            "telephone_number": "732-828-2030",
            "fax_number": "732-828-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REY T. VILLANOBOS MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "VILLANOBOS",
        "authorized_official_first_name": "REY",
        "authorized_official_middle_name": "TANEO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "732-828-2030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.