NPIMap

Organization Active NPI

University Medical Professionals LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Elizabeth, NJ
National Provider Identifier
1346304664
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MA70132 Issued in NJ
Legal business name
UNIVERSITY MEDICAL PROFESSIONALS LLC
Practice address
240 Williamson St
Suite 300
Elizabeth, NJ 07202-3674
Phone
(908) 994-8880
Fax
(908) 994-8882
NPI assigned
Dec 21, 2006
Last updated
May 27, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
VIPIN GARGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Authorized official

Name
Dr. Vipin Garg, M.D.NPI 1881662062
Title
President
Phone
(908) 994-8880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA70132 NJ
Internal Medicine Physician 207R00000X 220328 NY
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MA70132 NJ Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 220328 NY
Pulmonary Disease Physician 207RP1001X MA70132 NJ
Pulmonary Disease Physician 207RP1001X 220328 NY
Sleep Medicine (Internal Medicine) Physician 207RS0012X MA70132 NJ
Sleep Medicine (Internal Medicine) Physician 207RS0012X 220328 NY

Addresses

Primary practice location

240 Williamson St
Suite 300
Elizabeth, NJ 07202-3674

Mailing address

240 Williamson St
Suite 300
Elizabeth, NJ 07202-3674
Phone (908) 994-8880

Other identifiers 1

IdentifierTypeStateIssuer
0065323MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041206000837 NJ Part B Supplier - Clinic/Group Practice 6103882725 Receives reassigned benefits from 24 practitioners
Practice locations: Elizabeth, NJ; Union, NJ

National Provider Directory

National Provider Directory

Locations

240 Williamson St
Ste 300
Elizabeth, NJ 07202
Phone (908) 350-4444

2042 Morris Ave
Ste 1
Union, NJ 07083
Phone (908) 350-4444

Practitioners & affiliated clinicians

Practitioners 36

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 36

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1346304664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST",
            "address_2": "SUITE 300",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023674",
            "telephone_number": "908-994-8880",
            "fax_number": "908-994-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLIAMSON ST",
            "address_2": "SUITE 300",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023674",
            "telephone_number": "908-994-8880",
            "fax_number": "908-994-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MEDICAL PROFESSIONALS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIPIN GARG",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "VIPIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-994-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA70132",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220328",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "MA70132",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "220328",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MA70132",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "220328",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "MA70132",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "220328",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065323",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.