Active NPIOrganization

United Medical PC

Internal Medicine in Lyndhurst, New Jersey

NPI Number1124066048
Practice location
612 Rutherford Ave, Lyndhurst, NJ 07071-1217
Fax
201-460-1684
Last updated
February 11, 2014

United Medical PC is a healthcare organization based in Lyndhurst, NJ. United Medical PC practices in Lyndhurst, NJ. The NPI Number for United Medical PC is 1124066048 and holds a License No. 933910 (NJ). The current practice location address for United Medical PC is 612 Rutherford Ave, Lyndhurst, NJ 07071-1217 and can be reached out via phone at 201-460-0063 and via fax at 201-460-1684.

Provider Profile Details

NPI Number
1124066048
Provider Name
United Medical PC
Provider Entity Type
Organization
Address
612 Rutherford Ave, Lyndhurst, NJ 07071-1217
Phone Number
201-460-0063
Fax Number
201-460-1684
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Byong Park, MD · President · 201-460-0063
Provider Enumeration Date
June 3, 2006
Last Update Date
February 11, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
612 Rutherford Ave
Lyndhurst, NJ 07071-1217
Zip
07071-1217
Phone Number
201-460-0063
Fax Number
201-460-1684
Lyndhurst, NJ 07071Get directions →

Provider Business Mailing Address Details

Address
612 Rutherford Ave
Lyndhurst, NJ 07071-1217
City
Lyndhurst
State
NJ
Zip
07071-1217
Phone Number
201-460-0063
Fax Number
201-460-1684

License Information

License Number (1)
933910
License State (1)
NJ
Taxonomy (1)
Dietitian, Registered · 133V00000X
License Number (2)
25MA0352770
License State (2)
NJ
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
25MA08490600
License State (3)
NJ
Taxonomy (3)
Family Medicine, Geriatric Medicine · 207QG0300X
License Number (4)
25MA09171800
License State (4)
NJ
License Number (5)
25MA08599900
License State (5)
NJ
License Number (6)
MA062232
License State (6)
NJ
Taxonomy (6)
Internal Medicine, Gastroenterology · 207RG0100X
License Number (7)
25MA0497600
License State (7)
NJ
Taxonomy (7)
Internal Medicine, Nephrology · 207RN0300X
License Number (8)
25MA05208400
License State (8)
NJ
Taxonomy (8)
Obstetrics & Gynecology · 207V00000X
License Number (9)
25MA063700000
License State (9)
NJ
Taxonomy (9)
Ophthalmology · 207W00000X
License Number (10)
25MA08540700
License State (10)
NJ
Taxonomy (10)
Physical Medicine & Rehabilitation · 208100000X
License Number (11)
MA048966
License State (11)
NJ
License Number (12)
26NJ00326000
License State (12)
NJ
Taxonomy (12)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (13)
25MA04562300
License State (13)
NJ
Taxonomy (13)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of United Medical PC?

The NPI number of United Medical PC is 1124066048. It was assigned on June 3, 2006 and is currently active in the NPPES registry.

What is the specialty of United Medical PC?

United Medical PC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 933910.

Where does United Medical PC practice?

The practice location is 612 Rutherford Ave, Lyndhurst, NJ 07071-1217. The office can be reached at 201-460-0063 (phone) or 201-460-1684 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124066048 directly on the NPPES registry website.

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