Individual provider Active NPI

Rory Alexander Ulloque, MD

  • Family Medicine Physician
  • Edison, NJ
National Provider Identifier
1407127343
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09114800 Issued in NJ
Practice address
65 James St
Edison, NJ 08820-3947
Phone
(732) 321-7487
NPI assigned
Jan 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09114800 NJ Primary

Addresses

Primary practice location

65 James St
Edison, NJ 08820-3947

Mailing address

331 Newman Springs Rd
BLDG 2, Ste 220
Red Bank, NJ 07701-5688

Other practice location 1

222 Cedar Ln Ste 111
Teaneck, NJ 07666-4311
Phone (201) 833-3491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120803000432 NJ Practitioner - Family Practice 7517113749 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians
Excelcare Medical Associates PAGroup PAC ID 4284647868, 200 clinicians
House Physician Partners PCGroup PAC ID 7517944366, 31 clinicians

Practice addresses (Care Compare)

1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Phone (732) 828-3000

222 Cedar LN
Suite 111
Teaneck, NJ 07666-4311
Phone (201) 836-7970

718 Teaneck Rd
Teaneck, NJ 07666-4245
Phone (201) 833-3090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.07 of 100Reported as group
Quality
76.5
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Feb 1, 2021 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Family Medicine CurrentSince Aug 10, 2024 Accepting new patients
Sovereign Medical Group LLC CurrentSince Jun 1, 2013 Accepting new patients
Sovereign Medical Group, LLC CurrentSince Jun 1, 2013 Accepting new patients
Excelcare Medical Associates, PA Family Medicine CurrentSince Dec 2, 2024 Accepting new patients
House Physician Partners, PC CurrentSince Nov 1, 2024 Accepting new patients
Holy Name Medical Center Inc. Past Accepting new patients
Clenton Coleman MD PC PastSince Dec 2, 2024 Accepting new patients
Robert Wood Johnson University Hospital, Inc Past Accepting new patients

Locations

663 Palisade Ave
Ste 205
Cliffside Park, NJ 07010
Phone (201) 941-1353

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

3 University Plz
Ste 205
Hackensack, NJ 07601

309 1st St
Hoboken, NJ 07030
Phone (201) 222-8411

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

1 Rwj Pl
#254
New Brunswick, NJ 08901

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

680 Kinderkamack Rd
Ste 300
Oradell, NJ 07649
Phone (201) 881-7869

1 W Ridgewood Ave
Ste 203
Paramus, NJ 07652
Phone (201) 312-5243

222 Cedar Ln
Ste 111
Teaneck, NJ 07666
Phone (201) 833-3491

718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232

354 Old Hook Rd
Ste 102
Westwood, NJ 07675
Phone (201) 358-0400

Interoperability endpoints

  • Direct secure messaging: rulloque18282@epicdirect.rwjbh.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1407127343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 NEWMAN SPRINGS RD",
            "address_2": "BLDG 2, STE 220",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203947",
            "telephone_number": "732-321-7487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Cedar Ln Ste 111",
            "address_purpose": "LOCATION",
            "city": "Teaneck",
            "state": "NJ",
            "postal_code": "076664311",
            "country_code": "US",
            "telephone_number": "201-833-3491",
            "fax_number": "201-836-7973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULLOQUE",
        "first_name": "RORY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-24",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09114800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.