Active NPI
United Woundcare Institute PC
- Internal Medicine Physician
- Montclair, NJ
National Provider Identifier
1336827690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- UNITED WOUNDCARE INSTITUTE PC
- Practice address
- 28 Valley Rd Ste 156
Montclair, NJ 07042-2709 - Phone
- (888) 402-0202
- NPI assigned
- Jul 7, 2023
- Last updated
- Dec 13, 2023
- 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
- Kimberly Miller
- Title
- Director of RCM
- Phone
- (248) 331-7908
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
28 Valley Rd Ste 156
Montclair, NJ 07042-2709
Mailing address
PO Box 83241
Chicago, IL 60691-0241
Phone (888) 402-0202
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702425600000",
"number": "1336827690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 83241",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606910241",
"telephone_number": "888-402-0202",
"fax_number": "248-697-2794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 VALLEY RD STE 156",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422709",
"telephone_number": "888-402-0202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED WOUNDCARE INSTITUTE PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-07",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "DIRECTOR OF RCM",
"authorized_official_telephone_number": "248-331-7908"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.