NPIMap

Organization Active NPI

Union County Comprehensive Medical and Rehabilitation Center, PC

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Elizabeth, NJ
National Provider Identifier
1235476433
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
License
25MA04936400 Issued in NJ
Legal business name
UNION COUNTY COMPREHENSIVE MEDICAL AND REHABILITATION CENTER, PC
Practice address
469 Morris Ave
Second Floor
Elizabeth, NJ 07208-2904
Phone
(908) 351-6060
Fax
(908) 351-5330
NPI assigned
Jan 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Ms. Maritza Miranda
Title
Office Manager
Phone
(908) 351-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2081N0008X 25MA04936400 NJ Primary

Addresses

Primary practice location

469 Morris Ave
Second Floor
Elizabeth, NJ 07208-2904

Mailing address

469 Morris Ave
Second Floor
Elizabeth, NJ 07208-2904
Phone (908) 351-6060

National Provider Directory

National Provider Directory

Locations

469 Morris Ave
Ste 2
Elizabeth, NJ 07208
Phone (908) 351-6060

Practitioners & affiliated clinicians

Practitioners 3

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": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1235476433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 MORRIS AVE",
            "address_2": "SECOND FLOOR",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082904",
            "telephone_number": "908-351-6060",
            "fax_number": "908-351-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 MORRIS AVE",
            "address_2": "SECOND FLOOR",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082904",
            "telephone_number": "908-351-6060",
            "fax_number": "908-351-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY COMPREHENSIVE MEDICAL AND REHABILITATION CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-351-6060",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "NJ",
            "license": "25MA04936400",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 30, 2013; 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.