Ruben Bonilla Guerrero, MD

Primary specialty

Clinical Biochemical Genetics PhysicianTaxonomy code 207SG0202X

License

CQP92933 Issued in NY

Practice address

126 Corporate Blvd Ste D
South Plainfield, NJ 07080-2411

Phone

(908) 222-0533

NPI assigned

May 22, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1417514811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 CORPORATE BLVD STE D",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802411",
            "telephone_number": "908-222-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 CORPORATE BLVD STE D",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802411",
            "telephone_number": "908-222-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA GUERRERO",
        "first_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0202X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Biochemical Genetics",
            "state": "NY",
            "license": "CQP92933",
            "primary": true
        },
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "NY",
            "license": "CQP92933",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE DEPARTMENT OF HEALTH",
            "identifier": "CQP92933",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anjali Biswas
• Edwin Blumberg, MD
• Gaston Achidi Boma
• Anna Bonaiuto, DMD
• Melva Bondoc, RPH
• Braces & Smiles
• Gary B Breitbart, M.D.
• Brightpath Primary & Psychiatric Services
• Adunni Britton-Greene, LSW
• Kevin Lamar Brown Jr.

• Clinical Biochemical Genetics Physician in South Plainfield, NJ
• Providers in South Plainfield, NJ by specialty
• Clinical Biochemical Genetics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.