Active NPI
Udana Timberlake
- Registered Nurse
- Linden, NJ
National Provider Identifier
1083111629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 733273
- Practice address
- 1001 John St
Linden, NJ 07036-1842 - Phone
- (718) 809-3236
- NPI assigned
- Apr 10, 2018
- Last updated
- Apr 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 733273 | NY | Primary |
Addresses
Primary practice location
1001 John St
Linden, NJ 07036-1842
Mailing address
1001 John St
Linden, NJ 07036-1842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 733273 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1083111629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 JOHN ST",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070361842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 JOHN ST",
"city": "LINDEN",
"state": "NJ",
"postal_code": "070361842",
"telephone_number": "718-809-3236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMBERLAKE",
"first_name": "UDANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-10",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "733273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Linden, NJ
- The Center for Integrative Cardiac Care, L.L.C. (The Center for Integrative Medicine and I.V.)
- The Vine Health Services LLC
- Jomely Then
- Karen Thompson
- Tiffany Smith LLC
- Marilyn Tolentino
- Jeffrey D Tompson, MD
- Totalcarenj
- Tri County Physician Homecare
- Trinitas Regional Medical Center (Trinitas Regional Medical Center Physicians Practice Acct Linden)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.