Active NPI
Ray Ryan Crisostomo Santos, MD
- Internal Medicine Physician
- Hoboken, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 284676
- Practice address
- 231 Washington St
Hoboken, NJ 07030-4738 - Phone
- (201) 754-1006
- Fax
- (201) 754-1005
- NPI assigned
- Oct 28, 2008
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NJ84462 | NJ | |
| Hospitalist Physician | 208M00000X | NJ84462 | NJ | |
| Internal Medicine Physician | 207R00000X | 284676 | NY | Primary |
| Internal Medicine Physician | 207R00000X | 25MA08446200 | NJ | |
| Internal Medicine Physician | 207R00000X | NJ84462 | NJ |
Addresses
Primary practice location
231 Washington St
Hoboken, NJ 07030-4738
Mailing address
1345 RXR PLZ FL 13
Uniondale, NY 11556-1301
Phone (516) 453-0435
Other practice location 1
2187 Richmond Ave
Staten Island, NY 10314-3920
Phone (646) 682-7364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300
115 Christopher Columbus Dr
Suite 301
Jersey City, NJ 07302-3551
Phone (201) 706-3808
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08446200 | NJ | MD | Internal Medicine Physician |
| 284676 | NY | MD | Internal Medicine Physician |
| NJ84462 | NJ | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group PA | Current | Accepting new patients | |
| DRS Medical Associates, LLC | Internal Medicine | Current | Accepting new patients |
| DRS Medical Associates, LLC | Current | Accepting new patients | |
| Summit Medical Group PA | Current | Accepting new patients | |
| Harrison Pediatric Care Center, P.a. | Pediatrics | Past | Accepting new patients |
Locations
1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
115 Christopher Columbus Dr
Ste 301
Jersey City, NJ 07302
Phone (201) 706-3808
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
282 E Route 4
Paramus, NJ 07652
Phone (551) 222-0800
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
2187 Richmond Ave
Staten Island, NY 10314
Phone (646) 682-7364
Interoperability endpoints
- ray.ryan.santos.1@2983.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Jersey City, NJ
- NPI 1477938272
-
- Multi-Specialty Clinic/Center
- Berkeley Heights, NJ
- NPI 1942254347
-
- Family Nurse Practitioner
- Newark, NJ
- NPI 1982136958
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1043930555
-
- Pediatrics Physician
- Harrison, NJ
- NPI 1225163678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1821241381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 RXR PLZ FL 13",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115561301",
"telephone_number": "516-453-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 WASHINGTON ST",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070304738",
"telephone_number": "201-754-1006",
"fax_number": "201-754-1005"
}
],
"practiceLocations": [
{
"address_1": "2187 Richmond Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103143920",
"country_code": "US",
"telephone_number": "646-682-7364",
"fax_number": "646-682-7399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTOS",
"first_name": "RAY RYAN",
"middle_name": "CRISOSTOMO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "NJ84462",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "NJ84462",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "284676",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA08446200",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "NJ84462",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.