Provider Demographics
NPI:1215932280
Name:RYNGEL, HENRY JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:JAMES
Last Name:RYNGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ENRIQUE
Other - Middle Name:JACOBO
Other - Last Name:RYNGEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:28 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07029-1348
Mailing Address - Country:US
Mailing Address - Phone:973-484-2929
Mailing Address - Fax:973-484-4280
Practice Address - Street 1:28 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NJ
Practice Address - Zip Code:07029-1348
Practice Address - Country:US
Practice Address - Phone:973-484-2929
Practice Address - Fax:973-484-4280
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04193400207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5140005Medicaid
NJ5140005Medicaid
NJRY542382Medicare PIN