Individual provider Active NPI

Ray Ryan Crisostomo Santos, MD

  • Internal Medicine Physician
  • Hoboken, NJ
National Provider Identifier
1821241381
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
284676 Issued in NY
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

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 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
I20090608000568 NJ Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6507916806 Reassigns benefits to 2 organizations
I20160916001656 NY Practitioner - Internal Medicine 6507916806

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians
DRS Medical Associates LLCGroup PAC ID 4981914041, 2 clinicians

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

LicenseStateTypeSpecialty
25MA08446200NJMDInternal Medicine Physician
284676NYMDInternal Medicine Physician
NJ84462NJMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Aug 12, 2019 Accepting new patients
DRS Medical Associates, LLC Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
DRS Medical Associates, LLC Current Accepting new patients
Summit Medical Group PA CurrentSince Aug 12, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.