Carmenlino Payumo, Mdpa

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

25MA02902600 Issued in NJ

Legal business name

CARMENLINO PAYUMO, MDPA

Practice address

205 May St Ste 103
Edison, NJ 08837-3267

Phone

(732) 661-9075

NPI assigned

Aug 24, 2016

Organization subpart

No

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

Authorized official

Name

Carmenlino C Payumo, MD

Title

President

Phone

(732) 826-4177

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1114472727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MEREDITH RD",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673120",
            "telephone_number": "732-826-4177",
            "fax_number": "732-607-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAY ST STE 103",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373267",
            "telephone_number": "732-661-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMENLINO PAYUMO, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "PAYUMO",
        "authorized_official_first_name": "CARMENLINO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-826-4177",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "25MA02902600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.