University Physicians Group PC

Key facts

NPI

1386813624

Entity type

Organization (NPI type 2)

Primary specialty

Primary Podiatric Medicine Podiatrist 213EP1101X

License

N005325 (NY)

Legal business name

UNIVERSITY PHYSICIANS GROUP PC

Practice address

65 Rose Ave
Staten Island, NY 10306-2246

Phone

(718) 979-9333

Fax

(718) 980-0408

NPI assigned

Feb 20, 2008

Organization subpart

No

Authorized official

Name

Dr. Theodore Strange, MD

Title

Secretary/Treasurer

Phone

(718) 226-1000

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• University Physicians Group Family Nurse Practitioner · Staten Island, NY · NPI 1407247430
  NPD tax ID

National Provider Directory

Tax ID family

University Physicians Group (2 organizations share this tax ID)

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 20, 2008.

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1386813624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ROSE AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062246",
            "telephone_number": "718-979-9333",
            "fax_number": "718-980-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 ROSE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062246",
            "telephone_number": "718-979-9333",
            "fax_number": "718-980-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PHYSICIANS GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "STRANGE",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "718-226-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N005325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

• University Behavioral Medicine Services PC
• University Neuroscience Group
• University Physicians Group
• University Physicians Group Endocrinology PLLC
• University Physicians Group P C
• University Physicians Oncology Hematology Group, PC
• Rosalie Unterman, PH.D.
• Gautham Kadiyali Upadhya, MD, MPH
• Santa Upeniece, PA
• Upg Healthcare Inc

All providers in Staten Island, NY · Primary Podiatric Medicine Podiatrist in New York