Organization Active NPI

Winston C Umali MD PC

  • Clinic/Center
  • Jersey City, NJ
National Provider Identifier
1376780890
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
25MA06963700 Issued in NJ
Legal business name
WINSTON C UMALI MD PC
Practice address
395 Danforth Ave
Jersey City, NJ 07305-1975
Phone
(201) 209-9007
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Dr. Winston Caraos Umali, M.D., F.A.A.P.NPI 1740395433
Title
President
Phone
(201) 209-9007

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 25MA06963700 NJ Primary

Addresses

Primary practice location

395 Danforth Ave
Jersey City, NJ 07305-1975

Mailing address

PO Box 15371
Jersey City, NJ 07305-5371
Phone (201) 209-9007

Other identifiers 1

IdentifierTypeStateIssuer
8004803MedicaidNJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0990273Winston C Umali, MD, PC395 Danforth Avenue, Jersey City, NJ 07305Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1376780890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15371",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073055371",
            "telephone_number": "201-209-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 DANFORTH AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051975",
            "telephone_number": "201-209-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSTON C UMALI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "UMALI",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_middle_name": "CARAOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-209-9007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.A.P."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "25MA06963700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8004803",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.