IndividualActive
Prudencio Reyes, M.D.
NPI 1104903202 · Emergency Medical Services (Emergency Medicine) Physician · Bloomfield, NJ
Provider details
- NPI number
- 1104903202
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MA 40990 (NJ)
Practice location
135 Bloomfield Ave
Suite B
Bloomfield, NJ 07003-5902
Phone: (973) 743-3556
Fax: (973) 743-3895
Mailing address
2 Braeburn Pl
East Brunswick, NJ 08816-2383
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.