DR. PRUDENCIO CANTRE REYES (NPI# 1104903202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104903202 |
| Entity Type | Individual |
| Full Name | DR. PRUDENCIO CANTRE REYES |
| Credential | M.D. |
| Practice Address |
135 Bloomfield Ave Suite B Bloomfield NJ 07003-5902 |
| Mailing Address |
2 Braeburn Pl East Brunswick NJ 08816-2383 |
| Practice Telephone | 9737433556 |
| Practice Fax Number | 9737433895 |
| Mailing Telephone | 7322388093 |
| Mailing Fax Number | 7322388093 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MA 40990 | NJ | Allopathic & Osteopathic Physicians |
| X | 208600000X | Surgery | MA 40990 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
135 BLOOMFIELD AVE SUITE B |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952414849 | Normita Landas Narvaez | Internal Medicine | 135 Bloomfield Ave, Suite B, Bloomfield, NJ 07003-5902 | 2006-08-16 |
| 1427697606 | Cheryl Walker | Nurse Practitioner | 135 Bloomfield Ave, Bloomfield, NJ 07003-5902 | 2020-01-05 |
| 1407398555 | Medexpress Urgent Care - Northern New Jersey, PC | Emergency Medicine | 135 Bloomfield Ave, Bloomfield, NJ 07003-5902 | 2016-11-07 |
| 1932562907 | Sm Medical, LLC | Internal Medicine | 135 Bloomfield Ave, Suite F, Bloomfield, NJ 07003-5902 | 2016-03-29 |
| 1720387152 | Narvaez Medical Associates, PC | Internal Medicine | 135 Bloomfield Ave, Suite B, Bloomfield, NJ 07003-5902 | 2011-03-24 |
| 1235437534 | Comprehensive Cardiac Services of Nj LLC | Internal Medicine | 135 Bloomfield Ave, Suite F, Bloomfield, NJ 07003-5902 | 2011-03-10 |
| 1386961761 | Gloria O Odoemena | Nurse Practitioner | 135 Bloomfield Ave, 2nd Floor, Suite L, Bloomfield, NJ 07003-5902 | 2010-04-26 |
| 1811210131 | Andrea Barbier, D.o., LLC | Internal Medicine | 135 Bloomfield Ave, Suite D, Bloomfield, NJ 07003-5902 | 2010-03-02 |
| 1336313113 | Premier Ob/gyn LLC | Obstetrics & Gynecology | 135 Bloomfield Ave, Suite L, Bloomfield, NJ 07003-5902 | 2008-04-14 |
| 1356514640 | Catalino L. Delacruz, Jr., Md Pa | Internal Medicine | 135 Bloomfield Ave, Suite B, Bloomfield, NJ 07003-5902 | 2008-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649820788 | Sandra Rose Green | Emergency Medicine | 200 Spring Valley Ave, Hackensack, NJ 07601-2944 | 2019-09-19 |
| 1841708914 | Paraflightems | Emergency Medicine | 100 Gudz Rd, Lakewood, NJ 08701-2320 | 2018-01-11 |
| 1790028413 | Albert Shu He | Emergency Medicine | 20 Livingston Ave Unit 705, New Brunswick, NJ 08901-1995 | 2013-04-01 |
| 1851524862 | Andrew Berens | Emergency Medicine | 157 Sagamore Rd, Millburn, NJ 07041-2147 | 2009-08-25 |
| 1538310099 | Walter Patrick De Palma | Emergency Medicine | 2123 Shore Rd, Linwood, NJ 08221-2125 | 2008-10-02 |
| 1518115336 | Meenu Grover | Emergency Medicine | 21 Surrey Ln, Mahwah, NJ 07430-2502 | 2008-09-04 |
| 1477711927 | Ming-hong Wu | Emergency Medicine | 5 Moller St, Tenafly, NJ 07670-2019 | 2008-05-30 |
| 1396960464 | Charlotte Ann Alspach | Emergency Medicine | 2355 Ocean Dr, Avalon, NJ 08202-2070 | 2007-04-16 |
| 1730303371 | Janet Ann Neglia | Emergency Medicine | 5 Roe Ln, Howell, NJ 07731-9067 | 2007-04-13 |
| 1568555357 | Julie S Whitney | Emergency Medicine | 325 Marlton Pike E, Cherry Hill, NJ 08034-2408 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.