Loreta Montolo Uy, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

25MA05504900 Issued in NJ

Practice address

66 Somme St
Newark, NJ 07105-3612

Phone

(973) 589-7337

Fax

(973) 589-1905

NPI assigned

Jul 13, 2006

Last updated

Nov 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1164447587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SOMME ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053612",
            "telephone_number": "973-589-7337",
            "fax_number": "973-589-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 SOMME ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071053612",
            "telephone_number": "973-589-7337",
            "fax_number": "973-589-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UY",
        "first_name": "LORETA",
        "middle_name": "MONTOLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA05504900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3438708",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "25MA05504900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorden Lynn Urias, MD
• Saima Usmani
• Brian Uster, RN
• Juliet Uwah
• Constancia Somera Uy, MD
• V.D.Bodas, M.D.
• Vivek K. Vadehra, M.D.
• Vipul Vadher
• Parth Ashok Vaghani, MD
• Shreya Vakharia

• Pediatric Adolescent Medicine Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Pediatric Adolescent Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.