Active NPI
Union County Infectious Diseases Group
- Infectious Disease Physician
- Elizabeth, NJ
National Provider Identifier
1235109158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7732805 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.
-
- Specialist
- Elizabeth, NJ
- NPI 1548418791
-
- Infectious Disease Physician
- Elizabeth, NJ
- NPI 1629048541
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
- Uncana Mental Health Services LLC
- Union Care Pharmacy LLC (Unioncare Pharmacy)
- Union County Comprehensive Medical and Rehabilitation Center, PC
- Union County Healthcare Associates LLC (Union County Healthcare Associates- Westfield)
- Union County Healthcare Associates LLC (Union County Healthcare Associates- Jersey Street)
- Union County Pediatrics Group Inc
- Union Square Medical Associates, PC
- Union Square Pharmacy (Mabel's Pharmacy)
- United Behavioral Healthcare Clinic LLC
- United Medical Group 1 LLP
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.