Clementino Purisima, MD is a medicare enrolled "General Practice" physician in Union City, New Jersey. His current practice location is
1005 New York Ave, Union City, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 863-5065.
Clementino Purisima is licensed to practice in New Jersey (license number MA03503500) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144354788.
Physician's Profile
Full Name | Clementino Purisima |
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Gender | Male |
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Speciality | General Practice |
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Location | 1005 New York Ave, Union City, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144354788
- Provider Enumeration Date: 03/15/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7618009861
- Enrollment ID: I20100723000158
Medical Identifiers
Medical identifiers for Clementino Purisima such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144354788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | MA03503500 (New Jersey) | Primary |
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. Clementino Purisima is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Clementino Purisima, MD 41 Gristmill Ln, Upper Saddle River, NJ 07458-1316 Ph: (201) 863-5065 | Clementino Purisima, MD 1005 New York Ave, Union City, NJ 07087-4127 Ph: (201) 863-5065 |
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