NPIMap

Individual provider Active NPI

Ricardo Rey, M.D.

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1417049131
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA08429300 Issued in NJ
Practice address
960 Paulison Ave
Clifton, NJ 07011-3607
Phone
(973) 773-7713
Fax
(973) 773-7723
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100209000174 NJ Practitioner - Internal Medicine 9133144553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rey Medicine PCGroup PAC ID 3577606839, 3 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Clifton, NJ, CCN 317017
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08429300NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rey Medicine PC CurrentSince Jan 15, 2010 Accepting new patients
Prime Healthcare Services - St. Mary'S Passaic LLC Past Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients
Quarry Road Emergency Services P.C. Past Accepting new patients

Locations

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

Organizations & group practices 4

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 6

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1417049131",
    "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": {
        "last_name": "REY",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08429300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.