Provider Demographics
NPI:1770888919
Name:HENRY J. RYNGEL, MD, PC
Entity type:Organization
Organization Name:HENRY J. RYNGEL, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:RYNGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-484-2929
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-19
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04193400207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ802908OtherPTAN
NJ802908OtherPTAN