Organization Active NPI

Van Uden Center

  • Specialist
  • Corona, NY
National Provider Identifier
1225421407
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ND100185 FEDERAL LIC
Legal business name
VAN UDEN CENTER
Practice address
9859 Corona Ave
Corona, NY 11368-2783
Phone
(347) 858-4356
Fax
(800) 734-0709
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Dr. Alfonso Van Uden, N.D.NPI 1497193221
Title
Ceo
Phone
(800) 734-0709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ND100185 FEDERAL LIC Primary

Addresses

Primary practice location

9859 Corona Ave
Corona, NY 11368-2783

Mailing address

60 Latourette LN
Staten Island, NY 10314-6363
Phone (347) 858-1768

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1225421407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LATOURETTE LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146363",
            "telephone_number": "347-858-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9859 CORONA AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682783",
            "telephone_number": "347-858-4356",
            "fax_number": "800-734-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN UDEN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "VAN UDEN",
        "authorized_official_first_name": "ALFONSO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-734-0709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": "ND100185 FEDERAL LIC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.