Organization Active NPI

Rey Medicine PC

  • Primary Care Clinic/Center
  • Clifton, NJ
National Provider Identifier
1407090848
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25MA08429300 Issued in NJ
Legal business name
REY MEDICINE PC
Practice address
960 Paulison Ave
Clifton, NJ 07011-3607
Phone
(973) 773-7713
Fax
(973) 773-7723
NPI assigned
Apr 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Dr. Sandra Ugras Rey, DONPI 1992758932
Title
Co-President
Phone
(973) 773-7713

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
Primary Care Clinic/Center 261QP2300X 25MA08429300 NJ Primary

Addresses

Primary practice location

960 Paulison Ave
Clifton, NJ 07011-3607

Mailing address

960 Paulison Ave
Clifton, NJ 07011-3607
Phone (973) 773-7713

Other names 1

  • Clifton Comprehensive Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100209000134 NJ Part B Supplier - Clinic/Group Practice 3577606839 Receives reassigned benefits from 4 practitioners
Practice locations: Clifton, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D1099461Clifton Comprehensive Medical Center960 Paulison Avenue, Clifton, NJ 07011Certificate of waiverJan 9, 2027

National Provider Directory

National Provider Directory

Locations

76 Hobart Pl
Clifton, NJ 07011
Phone (973) 773-7713

960 Paulison Ave
Clifton, NJ 07011
Phone (973) 773-7713

4514 Bergen Tpke
North Bergen, NJ 07047
Phone (646) 320-2095

Practitioners & affiliated clinicians

Practitioners 5

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": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1407090848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 PAULISON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113607",
            "telephone_number": "973-773-7713",
            "fax_number": "973-773-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 PAULISON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113607",
            "telephone_number": "973-773-7713",
            "fax_number": "973-773-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "UGRAS REY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "973-773-7713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA08429300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clifton Comprehensive Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.