Individual provider

Prudencio Reyes, M.D.

Emergency Medical Services (Emergency Medicine) Physician Surgery Physician

Prudencio Reyes, M.D. is an Emergency Medical Services (Emergency Medicine) Physician in Bloomfield, NJ, registered under NPI 1104903202. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 135 BLOOMFIELD AVE SUITE B, Bloomfield, NJ 07003. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

135 BLOOMFIELD AVE SUITE B, Bloomfield, NJ 07003 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MA 40990 NJ Emergency Medical Services (Emergency… primary
MA 40990 NJ Surgery Physician

This provider holds licence MA 40990 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Emergency Medical Services covers

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. NUCC Health Care Provider Taxonomy, code 207PE0004X
Allopathic & Osteopathic Physicians Emergency Medicine Emergency Medical Services

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207PE0004X Emergency Medical Services (Emergency Medicine) Physician Emergency Medical Services MA 40990 NJ primary
208600000X Surgery Physician MA 40990 NJ

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104903202 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 1, 2006
Last updatedSep 11, 2025
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 135 BLOOMFIELD AVE
SUITE B
Bloomfield, NJ 07003
(973) 743-3556
Fax (973) 743-3895
Mailing address 2 BRAEBURN PL
East Brunswick, NJ 08816
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104903202 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 9 0 3 2 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 9 0 6 2 0

Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104903202?
NPI 1104903202 is the National Provider Identifier assigned to Prudencio Reyes, M.D. in Bloomfield, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Emergency Medical Services cover?
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.
How do I contact Prudencio Reyes, M.D.?
The phone number on file with NPPES is (973) 743-3556, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104903202 a valid number?
Yes. 1104903202 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.