Individual provider Active NPI

Julio H Urena, MD

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1356302186
Registry record updated Jun 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA58979 Issued in NJ
Practice address
40 Union Ave
Clifton, NJ 07011-2219
Phone
(973) 574-0010
Fax
(973) 574-0031
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA58979 NJ Primary

Addresses

Primary practice location

40 Union Ave
Clifton, NJ 07011-2219

Mailing address

40 Union Ave
Clifton, NJ 07011-2219
Phone (973) 574-0010

Other identifiers 1

IdentifierTypeStateIssuer
6048102MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412001100 NJ Practitioner - Internal Medicine 7416941562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Medical Care of New Jersey PCGroup PAC ID 3072650290, 168 clinicians

Practice addresses (Care Compare)

714 10TH St
Secaucus, NJ 07094-2921
Phone 20186333460000

Hospital & facility affiliations

  • Visiting Health Services of New Jersey Home health agency, Woodland Park, NJ, CCN 317058
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
71.59
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA58979NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2016 Accepting new patients
Riverside Medical Group Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients
Delia M Ferrer O D P a PastSince Sep 13, 1991 Accepting new patients
St Josephs University Medical Center Inc. Past Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

228 Franklin Ave
Nutley, NJ 07110
Phone (973) 542-2447

201 State Rt 17
Fl 1202
Rutherford, NJ 07070
Phone (201) 975-2323

714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Interoperability endpoints

  • Direct secure messaging: jurena77173@direct.optum.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1356302186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 UNION AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112219",
            "telephone_number": "973-574-0010",
            "fax_number": "973-574-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 UNION AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112219",
            "telephone_number": "973-574-0010",
            "fax_number": "973-574-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URENA",
        "first_name": "JULIO",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA58979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6048102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.