Union Internal & Geriatric Medicine, LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

UNION INTERNAL & GERIATRIC MEDICINE, LLC

Practice address

440 Chestnut St
2ND Floor
Union, NJ 07083-3100

Phone

(908) 686-9000

NPI assigned

May 17, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Yaroslav Sidletskyy, MD

Title

Sole Member

Phone

(908) 686-9000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1114210689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 CHESTNUT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 CHESTNUT ST",
            "address_2": "2ND FLOOR",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833100",
            "telephone_number": "908-686-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION INTERNAL & GERIATRIC MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "SIDLETSKYY",
        "authorized_official_first_name": "YAROSLAV",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "908-686-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Union Healthcare of NJ LLC
• Union Hospital
• Union Hospital
• Union Hospital Family Health Center
• Union Hospital Radiology Group
• Union Internal Medicine Group PA
• Union Medical Center,PA
• Union Medical Group, LLC
• Union Medical, LLC
• Union Medihealth LLC

• Geriatric Medicine (Internal Medicine) Physician in Union, NJ
• Providers in Union, NJ by specialty
• Geriatric Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.