Individual provider Active NPI

Sandra Ugras Rey, DO

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1992758932
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB08067200 Issued in NJ
Practice address
960 Paulison Ave
Clifton, NJ 07011-3607
Phone
(973) 773-7713
Fax
(973) 773-7723
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 237667 NY
Emergency Medicine Physician 207P00000X 25MB08067200 NJ
Internal Medicine Physician 207R00000X 25MB08067200 NJ Primary

Addresses

Primary practice location

960 Paulison Ave
Clifton, NJ 07011-3607

Mailing address

960 Paulison Ave
Clifton, NJ 07011-3607
Phone (973) 773-7713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080401000152 NJ Practitioner - Internal MedicinePractitioner - Emergency Medicine 5092726455 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Rowan University School of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rey Medicine PCGroup PAC ID 3577606839, 3 clinicians

Practice addresses (Care Compare)

960 Paulison Ave
Clifton, NJ 07011-3607
Phone (973) 773-7713

Hospital & facility affiliations

  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237667NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor'S Office of West Caldwell LLC Emergency Medicine CurrentSince Oct 21, 2014 Accepting new patients
Excel Urgent Care of Paramus LLC Internal Medicine CurrentSince Oct 21, 2014 Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients

Locations

110 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 265-9500

556 Passaic Ave
West Caldwell, NJ 07006
Phone (973) 808-2273

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1992758932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 PAULISON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113607",
            "telephone_number": "973-773-7713",
            "fax_number": "973-773-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 PAULISON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070113607",
            "telephone_number": "973-773-7713",
            "fax_number": "973-773-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGRAS REY",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "237667",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB08067200",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB08067200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.