Organization Active NPI

Union County Infectious Diseases Group

  • Infectious Disease Physician
  • Elizabeth, NJ
National Provider Identifier
1235109158
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
UNION COUNTY INFECTIOUS DISEASES GROUP
Practice address
240 Williamson St Ste 401
Elizabeth, NJ 07202-3672
Phone
(908) 282-0500
Fax
(908) 282-1482
NPI assigned
Jan 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
William Farrer
Title
MD
Phone
(646) 517-1257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X Primary

Addresses

Primary practice location

240 Williamson St Ste 401
Elizabeth, NJ 07202-3672

Mailing address

240 Williamson St Ste 401
Elizabeth, NJ 07202-3672
Phone (908) 282-0500

Other practice location 1

225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5010

Other identifiers 1

IdentifierTypeStateIssuer
7732805MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110125000007 NJ Part B Supplier - Clinic/Group Practice 5092902379 Receives reassigned benefits from 2 practitioners
Practice locations: Elizabeth, NJ

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17699/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1235109158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST STE 401",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023672",
            "telephone_number": "908-282-0500",
            "fax_number": "908-282-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST STE 401",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023672",
            "telephone_number": "908-282-0500",
            "fax_number": "908-282-1482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Williamson St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth",
            "state": "NJ",
            "postal_code": "072023625",
            "country_code": "US",
            "telephone_number": "908-994-5010",
            "fax_number": "908-355-9583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNION COUNTY INFECTIOUS DISEASES GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "FARRER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "646-517-1257"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7732805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.