DR. REY FERNANDO PEDRAZA RAMOS M.D.
NPI 1124077219
Family Medicine in West New York, NJ
About Dr. Rey Fernando Pedraza Ramos M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. REY FERNANDO PEDRAZA RAMOS M.D. (NPI 1124077219) is an individual family medicine provider in West New York, New Jersey, licensed in New Jersey (MA074676) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Rey Fernando Pedraza Ramos M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Rey Fernando Ramos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11042
- Reassigned Medicare billing, New Jersey enrollment
- 417 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST NEW YORK, NJ 07093
WEST NEW YORK, NJ 07093
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rey Fernando Ramos's NPI number?
The NPI number for Rey Fernando Ramos is 1124077219. It was assigned to this individual provider in the NPPES registry on May 8, 2006.
Where is Rey Fernando Ramos located?
Rey Fernando Ramos practices at 5301 Broadway, West New York, NJ 07093. The listed phone number is (201) 866-9320.
What is Rey Fernando Ramos's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rey Fernando Ramos enrolled in Medicare?
Yes. Rey Fernando Ramos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Rey Fernando Ramos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rey Fernando Ramos reassigns Medicare benefits to Optum Medical Care Of New Jersey PC (New Hyde Park, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rey Fernando Ramos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rey Fernando Ramos accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Rey Fernando Ramos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Rey Fernando Ramos was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Rey Fernando Pedraza Ramos, M.D. · NPI 1124077219
Family Medicine physician in West New York, New Jersey. Individual provider, active in the CMS NPPES registry since May 8, 2006.
## Identity
- **NPI:** 1124077219 (Entity type: Individual)
- **Enumerated:** May 8, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MA074676 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 5301 BROADWAY, West New York, NJ 07093-2622
- **Phone:** (201) 866-9320 · **Fax:** (201) 392-9084
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Optum Medical Care Of New Jersey PC (NPI 1578665048, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Medicaid 8930601 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1124077219) · Data from the CMS NPPES public registry.