Active NPI
University Physicians Group PC
- Primary Podiatric Medicine Podiatrist
- Staten Island, NY
National Provider Identifier
1386813624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- N005325
- 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
- Last updated
- Feb 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Theodore Strange, MD
- Title
- Secretary/Treasurer
- Phone
- (718) 226-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | N005325 | NY | Primary |
Addresses
Primary practice location
65 Rose Ave
Staten Island, NY 10306-2246
Mailing address
65 Rose Avenue
Staten Island, NY 10306-2246
Phone (718) 979-9333
National Provider Directory
National Provider Directory- Tax ID family
- University Physicians Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- Staten Island, NY
- NPI 1407247430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.