Organization Active NPI

Unimed Center

  • Internal Medicine Physician
  • East Brunswick, NJ
National Provider Identifier
1295900587
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07506100 Issued in NJ
Legal business name
UNIMED CENTER
Practice address
190 State Route 18 Ste 202
East Brunswick, NJ 08816-1407
Phone
(732) 828-9988
Fax
(732) 828-1010
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Dr. Jenny H.Y. Liu, M.D., M.S.
Title
Owner
Phone
(732) 828-9988

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X 006694-1 NY
Obesity Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QB0002X 25MA07506100 NJ
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25MA07506100 NJ Primary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X 25MA09132400 NJ

Addresses

Primary practice location

190 State Route 18 Ste 202
East Brunswick, NJ 08816-1407

Mailing address

190 State Route 18 Ste 202
East Brunswick, NJ 08816-1407
Phone (732) 828-9988

Other identifiers 1

IdentifierTypeStateIssuer
0300721MedicaidNJ

National Provider Directory

National Provider Directory

Locations

190 State Route 18
Ste 2
East Brunswick, NJ 08816
Phone (732) 828-9988

223 State Route 18
Ste 103
East Brunswick, NJ 08816
Phone (732) 247-2847

190 State Route 18
Ste 202
East Brunswick, NJ 08816
Phone (732) 828-9988

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGEFAA

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1295900587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 STATE ROUTE 18 STE 202",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161407",
            "telephone_number": "732-828-9988",
            "fax_number": "732-828-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 STATE ROUTE 18 STE 202",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161407",
            "telephone_number": "732-828-9988",
            "fax_number": "732-828-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIMED CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "H.Y.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-828-9988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NY",
            "license": "006694-1",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NJ",
            "license": "25MA07506100",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07506100",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NJ",
            "license": "25MA09132400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0300721",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.