Active NPI
Araceli O Borbon-Reyes, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Newark, NJ
National Provider Identifier
1487749040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MA51169
- Practice address
- 155 Jefferson Street
Newark, NJ 07105 - Phone
- (973) 465-2584
- Fax
- (973) 465-2668
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | MA51169 | NJ | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MA51169 | NJ | Primary |
Addresses
Primary practice location
155 Jefferson Street
Newark, NJ 07105
Mailing address
2 Braeburn Place
East Brunswick, NJ 08816
Phone (973) 465-2584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5640202 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA51169 | NJ | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1487749040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BRAEBURN PLACE",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "08816",
"telephone_number": "973-465-2584",
"fax_number": "973-465-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 JEFFERSON STREET",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07105",
"telephone_number": "973-465-2584",
"fax_number": "973-465-2668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORBON-REYES",
"first_name": "ARACELI",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "NJ",
"license": "MA51169",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NJ",
"license": "MA51169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5640202",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.