NPIMap

Organization Active NPI

Underwood-Memorial Hospital

  • Hospitalist Physician
  • Woodbury, NJ
National Provider Identifier
1265737324
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
UNDERWOOD-MEMORIAL HOSPITAL
Practice address
509 N Broad St
Woodbury, NJ 08096-1617
Phone
(856) 686-5396
Fax
(856) 686-5332
NPI assigned
Jan 21, 2011
Organization subpart
Yes
Parent organization
UNDERWOOD-MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Mr. John W. Graham, EXEC. VP, COO
Title
Exec.VP, Chief Operating Officer
Phone
(856) 845-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

509 N Broad St
Woodbury, NJ 08096-1617

Mailing address

509 N Broad St
Woodbury, NJ 08096-1617
Phone (856) 845-0100

Other names 1

  • UMH Hospitalist Service Doing business as

National Provider Directory

National Provider Directory
Part of
FHC of Glasboro

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1265737324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961617",
            "telephone_number": "856-845-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961617",
            "telephone_number": "856-686-5396",
            "fax_number": "856-686-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERWOOD-MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNDERWOOD-MEMORIAL HOSPITAL",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "EXEC.VP, CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "856-845-0100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EXEC. VP, COO"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMH Hospitalist Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.