Individual provider Active NPI

Julio Alejandro Hubert

  • Internal Medicine Physician
  • Newark, NJ
National Provider Identifier
1386770493
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MAO48697 Issued in NJ
Practice address
20 Ferry St
Newark, NJ 07105-1420
Phone
(973) 589-5841
Fax
(973) 589-8446
NPI assigned
Feb 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MAO48697 NJ Primary

Addresses

Primary practice location

20 Ferry St
Newark, NJ 07105-1420

Mailing address

876 Colonial Ave
Union, NJ 07083-7438
Phone (908) 687-6163

Other identifiers 1

IdentifierTypeStateIssuer
1142305MedicaidNJ

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
I20060111000070 NJ Practitioner - Internal Medicine 3870516347 Practice locations: Newark, NJ

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Ferry St
Newark, NJ 07105-1420
Phone (973) 589-5841

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.81 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MAO48697NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vistacare LLC Past Accepting new patients
Prime Healthcare Services - St Michaels LLC Past Accepting new patients

Organizations & group practices 2

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

Hospital & facility affiliations 5

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": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386770493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 COLONIAL AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837438",
            "telephone_number": "908-687-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051420",
            "telephone_number": "973-589-5841",
            "fax_number": "973-589-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERT",
        "first_name": "JULIO",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MAO48697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1142305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.