Active NPIIndividual providerSole proprietor

Clementino Purisima, MD

General Practice in Union City, New Jersey

NPI Number1144354788
Practice location
1005 New York Ave, Union City, NJ 07087-4127
Fax
201-934-1383
Last updated
July 8, 2007

Clementino Purisima is a General Practice based in Union City, NJ. Clementino Purisima practices in Union City, NJ and has the professional credentials of MD. The NPI Number for Clementino Purisima is 1144354788 and holds a License No. MA03503500 (NJ). The current practice location address for Clementino Purisima is 1005 New York Ave, Union City, NJ 07087-4127 and can be reached out via phone at 201-863-5065 and via fax at 201-934-1383.

Provider Profile Details

NPI Number
1144354788
Provider Name
Clementino Purisima
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1005 New York Ave, Union City, NJ 07087-4127
Phone Number
201-863-5065
Fax Number
201-934-1383
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 15, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1005 New York Ave
Union City, NJ 07087-4127
Zip
07087-4127
Phone Number
201-863-5065
Fax Number
201-934-1383
Union City, NJ 07087Get directions →

Provider Business Mailing Address Details

Address
41 Gristmill Ln
Upper Saddle River, NJ 07458-1316
City
Upper Saddle River
State
NJ
Zip
07458-1316
Phone Number
201-863-5065
Fax Number
201-934-1383

License Information

License Number
MA03503500
License State
NJ
Taxonomy
General Practice · 208D00000X · 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 Clementino Purisima, MD?

The NPI number of Clementino Purisima, MD is 1144354788. It was assigned on March 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Clementino Purisima, MD?

Clementino Purisima, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in NJ under license number MA03503500.

Where does Clementino Purisima, MD practice?

The practice location is 1005 New York Ave, Union City, NJ 07087-4127. The office can be reached at 201-863-5065 (phone) or 201-934-1383 (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 1144354788 directly on the NPPES registry website.

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