RUBEN BONILLA GUERRERO, MD — NPI 1417514811 (Licensed & Credentialed Allopathic & Osteopathic Physicians, Medical Genetics — Clinical Biochemical Genetics in SOUTH PLAINFIELD, NJ)

CMS-1500 Box 24J / 33a • NPI

1417514811

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207SG0202X (CMS D3)

Licensed & Credentialed Allopathic & Osteopathic Physicians, Medical Genetics — Clinical Biochemical Genetics

Box 32 Service Location & ZIP+4

126 CORPORATE BLVD STE D, SOUTH PLAINFIELD, NJ, 07080-2411

✓ 9-Digit EDI 837 ZIP+4 (07080-2411)

Practice Phone & Referral Fax

(908) 222-0533

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1417514811 (RUBEN BONILLA GUERRERO, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1417514811` (NPI-1 Individual Practitioner)
Provider / Legal Name	RUBEN BONILLA GUERRERO, MD
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians, Medical Genetics — Clinical Biochemical Genetics NUCC Code: `207SG0202X` (Medical Genetics, Clinical Biochemical Genetics)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	126 CORPORATE BLVD STE D, SOUTH PLAINFIELD, NJ, 07080-2411
Practice Telephone / Fax	Tel: (908) 222-0533
Administrative Mailing Address	126 CORPORATE BLVD STE D, SOUTH PLAINFIELD, NJ, 07080-2411
Enumeration & Last Sync	Enumerated: 2019-05-22 \| CMS Record Updated: 2019-05-22

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

126 CORPORATE BLVD STE D, SOUTH PLAINFIELD, NJ, 07080-2411

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Plain-English Taxonomy & CMS Crosswalk (207SG0202X)

What Does Taxonomy Code 207SG0202X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207SG0202X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians, Medical Genetics — Clinical Biochemical Genetics"

CMS-1500 Medicare Specialty Crosswalk: CMS Code D3 (Medical Genetics and Genomics)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Medical Genetics, Clinical Biochemical Genetics for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (RUBEN BONILLA GUERRERO, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207SG0202X` — Medical Genetics, Clinical Biochemical Genetics Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians, Medical Genetics — Clinical Biochemical Genetics	State: NY \| License: `CQP92933` \| Primary: Yes (Primary)
`207SG0203X` — Medical Genetics, Clinical Molecular Genetics Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Medical Genetics — Clinical Molecular Genetics	State: NY \| License: `CQP92933` \| Primary: Secondary

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RUBEN BONILLA GUERRERO, MD (NPI #1417514811)