United Medical Pc is a
Internal Medicine based in Lyndhurst, New Jersey. United Medical Pc is licensed to practice in New Jersey (license number 25MA04562300) and their current practice location is
612 Rutherford Ave, Lyndhurst, New Jersey. It can be reached at their office (for appointments etc.) via phone at
(201) 460-0063.
NPI number for United Medical Pc is 1124066048 and their current mailing address is 612 Rutherford Ave, Lyndhurst, New Jersey. United Medical Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1124066048.
Healthcare Provider's Profile
| Full Name | United Medical Pc |
|---|
| Type | Facility |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 612 Rutherford Ave, Lyndhurst, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124066048
- Provider Enumeration Date: 06/03/2006
- Last Update Date: 02/11/2014
Medical Identifiers
Medical identifiers for United Medical Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124066048 | NPI | - | NPPES |
| 25MA07920500 | Other | NJ | MD LICENSE |
| 7930101 | Medicaid | NJ | |
| 1163604 | Medicaid | NJ | |
| 0174653 | Medicaid | NJ | |
| 978514 | Other | | CERTIFICATE AMERICAN DIETETIC ASSOCIATION |
| 26NJ00326000 | Other | NJ | ADVANCED NURSE PRACTITIONER |
| 7326505 | Medicaid | NJ | |
| 25MD00232400 | Other | NJ | DPM LICENSE |
| 7027508 | Medicaid | NJ | |
| 0251623 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 933910 (New Jersey) | Secondary |
| 207Q00000X | Family Medicine | 25MA0352770 (New Jersey) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 25MA08490600 (New Jersey) | Secondary |
| 207R00000X | Internal Medicine | 25MA04562300 (New Jersey) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 25MA09171800 (New Jersey) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 25MA08599900 (New Jersey) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | MA062232 (New Jersey) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 25MA0497600 (New Jersey) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 25MA05208400 (New Jersey) | Secondary |
| 207W00000X | Ophthalmology | 25MA063700000 (New Jersey) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 25MA08540700 (New Jersey) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | MA048966 (New Jersey) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00326000 (New Jersey) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. United Medical Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
United Medical Pc
612 Rutherford Ave,
Lyndhurst, NJ 07071-1217
Ph: (201) 460-0063 | United Medical Pc
612 Rutherford Ave,
Lyndhurst, NJ 07071-1217
Ph: (201) 460-0063 |
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