Individual provider Active NPI

Aliye Runyan, MD

  • Complex Family Planning Physician
  • Englewood, NJ
National Provider Identifier
1932528676
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Complex Family Planning PhysicianTaxonomy code 207VC0300X
License
25MA10905300 Issued in NJ
Practice address
200 Grand Ave
Englewood, NJ 07631-4371
Phone
(201) 489-2266
NPI assigned
Apr 9, 2014
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Complex Family Planning Physician 207VC0300X 300421 NY
Complex Family Planning Physician 207VC0300X 25MA10905300 NJ Primary

Addresses

Primary practice location

200 Grand Ave
Englewood, NJ 07631-4371

Mailing address

200 Grand Ave Ste 101
Englewood, NJ 07631-4363

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
I20190912001359 NY Practitioner - Obstetrics/Gynecology 2062714108 Reassigns benefits to 4 organizations
I20201015000760 NJ Practitioner - Obstetrics/Gynecology 2062714108 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
300421NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Camcare Health Corporation CurrentSince Oct 12, 2020 Accepting new patients
Rocket Doctor Practice Group, P.C. CurrentSince Dec 4, 2025 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Oct 15, 2021 Accepting new patients
Camcare Health Corporation Current Accepting new patients
Westchester Medical Center Advanced Physician Services, PC Obstetrics & Gynecology CurrentSince Oct 15, 2021 Accepting new patients
Camcare Health Corporation CurrentSince Oct 12, 2020 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Aug 5, 2019 Accepting new patients

Locations

2219 Main St
Santa Monica, CA 90405
Phone (310) 800-1630

2610 Federal St
Camden, NJ 08105
Phone (856) 541-0212

817 Federal St
Camden, NJ 08103
Phone (856) 541-3270

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

30 Harrison St
Ste 340
Johnson City, NY 13790
Phone (607) 763-8088

447 Broadway
Fl 2
New York, NY 10013
Phone (347) 807-3288

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 8

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1932528676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GRAND AVE STE 101",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314371",
            "telephone_number": "201-489-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "ALIYE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VC0300X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Complex Family Planning",
            "state": "NY",
            "license": "300421",
            "primary": false
        },
        {
            "code": "207VC0300X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Complex Family Planning",
            "state": "NJ",
            "license": "25MA10905300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.