Union Medical, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA07067900 Issued in NJ

Legal business name

UNION MEDICAL, LLC

Practice address

2182 Morris Ave
Union, NJ 07083-5902

Phone

(908) 851-2666

Fax

(908) 851-2299

NPI assigned

Nov 17, 2006

Last updated

Sep 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Victor Fano, D.C.NPI 1700965142

Title

President

Phone

(908) 851-2666

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victor Fano, D.C.

  • Chiropractor
  • Union, NJ
  • NPI 1700965142
  Medicare reassignment Care Compare group NPD Authorized official
• Cyrus Vosough, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Wayne, NJ
  • NPI 1194729475
  Medicare reassignment Care Compare group NPD
• Cyrus Kao, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Union City, NJ
  • NPI 1184917445
  Medicare reassignment NPD
• De Lys Eva St Hill, MD

  • Physical Medicine & Rehabilitation Physician
  • Union, NJ
  • NPI 1144251893
  Medicare reassignment NPD
• Jidong Sun

  • Physical Medicine & Rehabilitation Physician
  • Hamilton, NJ
  • NPI 1033158282
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189900800000",
    "number": "1417021841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2182 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835902",
            "telephone_number": "908-851-2666",
            "fax_number": "908-851-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2182 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835902",
            "telephone_number": "908-851-2666",
            "fax_number": "908-851-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-09-16",
        "status": "A",
        "authorized_official_last_name": "FANO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-851-2666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00493100",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA07067900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID #",
            "identifier": "024775",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Union Hospital Radiology Group
• Union Internal & Geriatric Medicine, LLC
• Union Internal Medicine Group PA
• Union Medical Center,PA
• Union Medical Group, LLC
• Union Medihealth LLC
• Union Middlesex Orthopedics PC
• Union OB/GYN and Infertility Group
• Union Obs,PC
• Union Pediatric Medical Group,P.a.

• Physical Medicine & Rehabilitation Physician in Union, NJ
• Providers in Union, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.