NPIMap

Organization Active NPI

Ubylee Healthcare Group, PLLC

Doing business as Ubylee Healthcare Group

  • Specialist
  • Matthews, NC
National Provider Identifier
1265942403
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
UBYLEE HEALTHCARE GROUP, PLLC
Doing business as
Ubylee Healthcare Group
Ubylee Healthcare Group, PLLC
Practice address
9723 Northeast Pkwy
Ste 100
Matthews, NC 28105-9719
Phone
(980) 262-3007
Fax
(980) 262-3528
NPI assigned
Oct 2, 2017
Last updated
Aug 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Dr. Baptiste Steven Marino, MDNPI 1104070820
Title
Medical Director/Owner
Phone
(800) 984-7279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

9723 Northeast Pkwy
Ste 100
Matthews, NC 28105-9719

Mailing address

PO Box 1707
Matthews, NC 28106-1707
Phone (800) 984-7279

Other names 2

  • Ubylee Healthcare Group Doing business as
  • Ubylee Healthcare Group, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190417002402 NC Part B Supplier - Clinic/Group Practice 8921349044 Receives reassigned benefits from 16 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gastonia, NC; Matthews, NC; Kannapolis, NC
O20200720000058 NC DME Supplier - Multi-Specialty - PhysicianDME Supplier - Nurse PractitionerDME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 8921349044 Practice locations: Matthews, NC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2610 Dale Earnhardt Blvd
Kannapolis, NC 28083
Phone (980) 262-3007

1674 Cranium Dr
Ste 103
Rock Hill, SC 29732
Phone (980) 262-3007

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1265942403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1707",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281061707",
            "telephone_number": "800-984-7279",
            "fax_number": "980-262-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9723 NORTHEAST PKWY",
            "address_2": "STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059719",
            "telephone_number": "980-262-3007",
            "fax_number": "980-262-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBYLEE HEALTHCARE GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "BAPTISTE",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "800-984-7279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ubylee Healthcare Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ubylee Healthcare Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ubylee Healthcare Group, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.