Active NPI
Reyes & Narvaez MD. PA
- Surgery Physician
- Bloomfield, NJ
National Provider Identifier
1528183571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA40990
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Prudencio Cantre Reyes, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bloomfield, NJ
- NPI 1104903202
Surgery
-
- Internal Medicine Physician
- Bloomfield, NJ
- NPI 1952414849
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.