Individual provider Active NPI

Rheu Cristine Bacay Candava, MD

  • Pediatric Gastroenterology Physician
  • Morristown, NJ
National Provider Identifier
1750766028
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
25MA12436700 Issued in NJ
Practice address
55 Madison Ave FL 2
Morristown, NJ 07960-7337
Phone
(973) 971-5676
Fax
(973) 290-7365
NPI assigned
Jul 28, 2015
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 295911 NY
Pediatric Gastroenterology Physician 2080P0206X 25MA12436700 NJ Primary

Addresses

Primary practice location

55 Madison Ave FL 2
Morristown, NJ 07960-7337

Mailing address

465 South St Ste 103
Morristown, NJ 07960-6442
Phone (973) 971-5676

Other practice location 1

725 East Adams St
4th Fl
Syracuse, NY 13210-2576
Phone (315) 464-5831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210610000889 NY Practitioner - GastroenterologyPractitioner - Pediatric Medicine 1254731409 Reassigns benefits to 1 organization
I20250128000616 NJ Practitioner - Pediatric MedicinePractitioner - Gastroenterology 1254731409 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA12436700NJMDPediatric Gastroenterology Physician
295911NYMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Family and Preventive Medicine, Inc CurrentSince Jun 1, 2023 Accepting new patients
Practice Associates Medical Group Pediatric Gastroenterology CurrentSince Jan 13, 2025 Accepting new patients
Pediatric Service Group CurrentSince Jul 1, 2021 Accepting new patients

Locations

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

725 E Adams St
Fl 4
Syracuse, NY 13210
Phone (315) 464-4686

725 Irving Ave
Ste 504
Syracuse, NY 13210
Phone (315) 464-8444

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1750766028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SOUTH ST STE 103",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606442",
            "telephone_number": "973-971-5676",
            "fax_number": "973-290-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MADISON AVE FL 2",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607337",
            "telephone_number": "973-971-5676",
            "fax_number": "973-290-7365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 East Adams St",
            "address_2": "4th Fl",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102576",
            "country_code": "US",
            "telephone_number": "315-464-5831",
            "fax_number": "315-464-2030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANDAVA",
        "first_name": "RHEU CRISTINE",
        "middle_name": "BACAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-28",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NY",
            "license": "295911",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NJ",
            "license": "25MA12436700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.