Hudson Medical and Mental Health Integrated Services, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA07560000 Issued in NJ

Legal business name

HUDSON MEDICAL AND MENTAL HEALTH INTEGRATED SERVICES, LLC

Doing business as

Hudson Medical and Mental Health

Practice address

301 60TH St
Lower Level
West New York, NJ 07093-5422

Phone

(201) 295-3033

Fax

(201) 295-8592

NPI assigned

May 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Luis Fernando Jaramillo, MDNPI 1952361784

Title

Medical Director

Phone

(201) 295-3033

Specialties & licenses 1

Addresses

Other names 1

• HUDSON MEDICAL AND MENTAL HEALTH Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis Fernando Jaramillo, M.D.

  • Specialist
  • West New York, NJ
  • NPI 1952361784
  Medicare reassignment Care Compare group Authorized official
• Victor Fabio Hernandez, MD

  • Child & Adolescent Psychiatry Physician
  • West New York, NJ
  • NPI 1518904036
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073560207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 60TH ST",
            "address_2": "LOWER LEVEL",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935422",
            "telephone_number": "201-295-3033",
            "fax_number": "201-295-8592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 60TH ST",
            "address_2": "LOWER LEVEL",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935422",
            "telephone_number": "201-295-3033",
            "fax_number": "201-295-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON MEDICAL AND MENTAL HEALTH INTEGRATED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JARAMILLO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "FERNANDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-295-3033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07560000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUDSON MEDICAL AND MENTAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yingjia Huang, LCSW
• Hudson Dental Center
• Hudson Dental Center PA
• Hudson Dental Esthetics PC
• Hudson Eyecare Associates PA (Avenue Eyecare)
• Hudson Pain and Orthopedic Associates, LLC
• Hudson Pharmacy
• Daphne Joyce Humphries, MD
• Donna P. Hutton-Cassie, M.D.
• Iacr Dental, PC

• Family Medicine Physician in West New York, NJ
• Providers in West New York, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.