Organization Active NPI

Reyes & Narvaez MD. PA

  • Surgery Physician
  • Bloomfield, NJ
National Provider Identifier
1528183571
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA40990 Issued in NJ
Legal business name
REYES & NARVAEZ MD. PA
Practice address
135 Bloomfield Ave
Suite B
Bloomfield, NJ 07003-5902
Phone
(973) 473-3556
NPI assigned
Mar 20, 2007
Last updated
Feb 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Mr. Prudencio Cantre Reyes, MDNPI 1104903202
Title
President
Phone
(908) 490-0036

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
Surgery Physician 208600000X 25MA40990 NJ Primary

Addresses

Primary practice location

135 Bloomfield Ave
Suite B
Bloomfield, NJ 07003-5902

Mailing address

PO Box 1214
Paramus, NJ 07653-1214
Phone (973) 743-3556

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1528183571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1214",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076531214",
            "telephone_number": "973-743-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BLOOMFIELD AVE",
            "address_2": "SUITE B",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035902",
            "telephone_number": "973-473-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYES & NARVAEZ MD. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "PRUDENCIO",
        "authorized_official_middle_name": "CANTRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-490-0036",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA40990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.