Active NPI
Reuben Brathwaite
- Neurology Physician
- Paramus, NJ
National Provider Identifier
1811577182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 25MA12717700
- Practice address
- 650 From Road
Suite 506
Paramus, NJ 07652 - Phone
- (551) 996-8100
- Fax
- (551) 996-4140
- NPI assigned
- Apr 12, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Epilepsy Physician | 2084E0001X | 25MA12717700 | NJ | |
| Neurology Physician | 2084N0400X | 25MA12717700 | NJ | Primary |
Addresses
Primary practice location
650 From Road
Suite 506
Paramus, NJ 07652
Mailing address
6 Forest Ave Ste 150
Paramus, NJ 07652-5245
Phone (201) 546-8510
Other practice location 1
6 Forest Ave Ste 150
Paramus, NJ 07652-5245
Phone (201) 546-8510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12717700 | NJ | MD | Epilepsy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Scleroderma Program | Neurology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- New Brunswick, NJ
- NPI 1366487183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1811577182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 FOREST AVE STE 150",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076525245",
"telephone_number": "201-546-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 FROM ROAD",
"address_2": "SUITE 506",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "07652",
"telephone_number": "551-996-8100",
"fax_number": "551-996-4140"
}
],
"practiceLocations": [
{
"address_1": "6 Forest Ave Ste 150",
"address_purpose": "LOCATION",
"city": "Paramus",
"state": "NJ",
"postal_code": "076525245",
"country_code": "US",
"telephone_number": "201-546-8510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRATHWAITE",
"first_name": "REUBEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-12",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "NJ",
"license": "25MA12717700",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA12717700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.