Active NPI
Unimed Center
- Internal Medicine Physician
- East Brunswick, NJ
National Provider Identifier
1295900587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA07506100
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 006694-1 | NY | |
| Obesity Medicine (Family Medicine) Physician | 207QB0002X | 25MA07506100 | NJ | |
| Internal Medicine Physician | 207R00000X | 25MA07506100 | NJ | Primary |
| Occupational Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0300721 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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
- 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.