Active NPIIndividual provider

Dr. Prudencio C Reyes, MD

Emergency Medicine, Emergency Medical Services in Bloomfield, New Jersey

NPI Number1104903202
Practice location
135 Bloomfield Ave, Suite B, Bloomfield, NJ 07003-5902
Fax
973-743-3895
Last updated
September 11, 2025

Prudencio Cantre Reyes is an Emergency Medicine, Emergency Medical Services based in Bloomfield, NJ. Prudencio Cantre Reyes practices in Bloomfield, NJ and has the professional credentials of MD. The NPI Number for Prudencio Cantre Reyes is 1104903202 and holds a License No. MA 40990 (NJ). The current practice location address for Prudencio Cantre Reyes is 135 Bloomfield Ave, Suite B, Bloomfield, NJ 07003-5902 and can be reached out via phone at 973-743-3556 and via fax at 973-743-3895.

Provider Profile Details

NPI Number
1104903202
Provider Name
Prudencio Cantre Reyes
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
135 Bloomfield Ave, Suite B, Bloomfield, NJ 07003-5902
Phone Number
973-743-3556
Fax Number
973-743-3895
Sole Proprietor
No
Provider Enumeration Date
November 1, 2006
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
135 Bloomfield Ave
Suite B
Bloomfield, NJ 07003-5902
Zip
07003-5902
Phone Number
973-743-3556
Fax Number
973-743-3895
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
2 Braeburn Pl
East Brunswick, NJ 08816-2383
City
East Brunswick
State
NJ
Zip
08816-2383
Phone Number
732-238-8093
Fax Number
732-238-8093

License Information

License Number (1)
MA 40990
License State (1)
NJ
Taxonomy (1)
Emergency Medicine, Emergency Medical Services · 207PE0004X · Primary
License Number (2)
MA 40990
License State (2)
NJ
Taxonomy (2)
Surgery · 208600000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Prudencio C Reyes, MD?

The NPI number of Dr. Prudencio C Reyes, MD is 1104903202. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Prudencio C Reyes, MD?

Dr. Prudencio C Reyes, MD is registered under the primary taxonomy Emergency Medicine, Emergency Medical Services (code 207PE0004X), licensed in NJ under license number MA 40990.

Where does Dr. Prudencio C Reyes, MD practice?

The practice location is 135 Bloomfield Ave, Suite B, Bloomfield, NJ 07003-5902. The office can be reached at 973-743-3556 (phone) or 973-743-3895 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104903202 directly on the NPPES registry website.

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