Carlos Alberto Rueda, MD
Individual provider Active NPI Geriatric Psychiatry Physician · Port Chester, NY
NPI 1366490195 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1366490195
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Psychiatry Physician 2084P0805X
- License
- 204047 (NY)
- Practice address
- 25 S Regent St
Port Chester, NY 10573-3512 - Phone
- (917) 972-6771
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St Josephs Healthcare Inc
Practice addresses (Care Compare)
220 Hamburg Tpke
Suite 4
Wayne, NJ 07470-2132
Phone (973) 389-6022
251 Grandview Blvd
Yonkers, NY 10710-2508
Phone (203) 901-2493
621 Main St
Paterson, NJ 07503-3028
Phone (973) 754-4750
641 Main St
Paterson, NJ 07503-3028
Phone (973) 754-4750
645 Main St
Paterson, NJ 07503-3028
Phone (973) 754-2805
703 Main St
Paterson, NJ 07503-2621
Hospital & facility affiliations
- St Joseph'S University Medical Center Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in NY, NJ, FL, CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040529000062 | NY | Practitioner - Psychiatry |
6103807607 | Reassigns benefits to 2 organizations |
| I20160701000920 | NJ | Practitioner - Psychiatry |
6103807607 | Reassigns benefits to 3 organizations |
| I20191121000822 | FL | Practitioner - Psychiatry | 6103807607 | Reassigns benefits to 1 organization |
| I20200413000729 | CT | Practitioner - Psychiatry | 6103807607 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (10 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Healthcare, Inc. | Current |
Accepting new patients | |
| Success TMS Professional Services New Jersey LLC | Psychiatry | Current |
Accepting new patients |
| Temple Family Health NP PC | Current | Accepting new patients | |
| St Josephs Medical Group PC | Current |
Accepting new patients | |
| Vital Healthcare Solutions | Psychiatry | Current |
Accepting new patients |
| Neuropsychiatry Consultants LLP | Psychiatry | Past | Accepting new patients |
| Psychiatry and Psychotherapy Practice P.C. | Psychiatry | Past |
Accepting new patients |
| TMS Professional Services of New Jersey, LLC | Psychiatry | Past |
Accepting new patients |
| Medical Healthcare Services P.C. | Psychiatry | Past |
Accepting new patients |
| The Carson Center | Past | Accepting new patients |
Locations (25 of 26)
1615 S Congress Ave
Ste 200
Delray Beach, FL 33445
1555 Palm Beach Lakes Blvd
Ste 1105
West Palm Beach, FL 33401
1400 Route 70 E
Fl 2
Cherry Hill, NJ 08034
Phone (856) 427-4336
1950 Route 70 E
Ste 201
Cherry Hill, NJ 08003
Phone (856) 229-0138
240 Central Ave
East Orange, NJ 07018
Phone (973) 414-3473
310 Central Ave
Ste 105
East Orange, NJ 07018
Phone (862) 658-7190
30 Two Bridges Rd
Ste 205
Fairfield, NJ 07004
34 Manchester Ave
Ste 202
Forked River, NJ 08731
303 W Main St
Ste 350
Freehold, NJ 07728
Phone (732) 308-4400
1 University Plz
Ste 408
Hackensack, NJ 07601
517 Route 1 S
Ste 1109
Iselin, NJ 08830
Phone (732) 896-9847
45 Essex St
Ste 200
Millburn, NJ 07041
Phone (973) 840-8517
1423 Tilton Rd
Ste 6
Northfield, NJ 08225
Phone (609) 697-7933
240 Frisch Ct
Ste 101
Paramus, NJ 07652
Phone (201) 470-5709
240 Frisch Ct
Ste 105
Paramus, NJ 07652
Phone (551) 230-2425
703 Main St
Rm XG2126
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331
1000 Herrontown Rd
Ste 100
Princeton, NJ 08540
Phone (609) 337-2369
405 Hurffvle CR Keys Rd
Ste 202
Sewell, NJ 08080
Phone (856) 566-7093
106 Apple St
Ste 106
Tinton Falls, NJ 07724
Phone (732) 784-3679
151 Fries Mill Rd
Ste 101
Turnersville, NJ 08012
Phone (856) 229-0138
415 W Landis Ave
Ste 102
Vineland, NJ 08360
Phone (609) 653-9110
822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207
37 N Chemung St
Waverly, NY 14892
Phone (607) 565-2861
Networks
- Freedom Health HMO Network
Interoperability endpoints
- crueda@sjhbh.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 204047 | NY | Yes |
| Psychiatry Physician | 2084P0800X | ME140892 | FL |
Addresses
Primary practice location
25 S Regent St
Port Chester, NY 10573-3512
Mailing address
14 Easthaven LN
White Plains, NY 10605-5460
Phone (917) 972-6771
Other practice location 1
25 Pompton Ave
suite 308
Verona, NJ 07044
Phone (608) 313-7083
Other practice location 2
7301A W Palmetto Park Rd Ste 307C
Boca Raton, FL 33433-3409
Phone (561) 705-0253
Other practice location 3
976 Lake Baldwin Ln Ste 102
Orlando, FL 32814-6687
Phone (407) 753-4615
Other practice location 4
635 Primera Blvd Ste 121
Lake Mary, FL 32746-2173
Phone (407) 720-6486
Other practice location 5
1210 E Osceola Pkwy Ste 203&204
Kissimmee, FL 34744-1621
Phone (407) 961-6602
Other practice location 6
1950 Route 70 E Ste 201
Cherry Hill, NJ 08003-2128
Phone (856) 229-0138
Other practice location 7
151 Fries Mill Rd Ste 101
Turnersville, NJ 08012-2056
Phone (856) 229-0138
Other practice location 8
310 Central Ave Ste 105
East Orange, NJ 07018-2838
Phone (862) 658-7190
Other practice location 9
1423 Tilton Rd Ste 6
Northfield, NJ 08225-1857
Phone (609) 697-7933
Other practice location 10
1400 Route 70 E Fl 2
Cherry Hill, NJ 08034-2240
Phone (856) 475-6497
Other practice location 11
45 Essex St Ste 200
Millburn, NJ 07041-1668
Phone (973) 840-8517
Other practice location 12
240 Frisch Ct Ste 105
Paramus, NJ 07652-5249
Phone (551) 230-2425
Other practice location 13
25 Pompton Ave Ste 308
Verona, NJ 07044-2939
Phone (608) 352-4265
Other practice location 14
240 Frisch Ct Ste 101
Paramus, NJ 07652-5249
Phone (201) 472-5448
Other practice location 15
60 Essex Street
Millburn, NJ 07041
Phone (973) 339-0742
Other practice location 16
1890 W County Road 419 Ste 1020
Oviedo, FL 32765-4402
Phone (407) 720-6536
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01690582 | Medicaid | NY |
Other providers in Port Chester, NY
- Ellie Rodriguez
- Paola Rodriguez
- Pedro Rafael Rojas
- Loren Rolon
- Augustina Rueda
- Jennifer Russo
- Natasha Rutherford
- S H Laufer of Port Chester Inc
- Luisa M Saavedra
- Elizabeth Sabga
All providers in Port Chester, NY · Geriatric Psychiatry Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.