Urban Medical Group, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

URBAN MEDICAL GROUP, PLLC

Practice address

128 Mott St
Suite 202
New York, NY 10013-5540

Phone

(646) 355-3711

Fax

(212) 300-4989

NPI assigned

Dec 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Johnson, MDNPI 1801895248

Title

MD

Phone

(646) 355-3711

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Timothy C Johnson, M.D.

  • Gastroenterology Physician
  • New York, NY
  • NPI 1801895248
  Medicare reassignment NPD Authorized official
• Lena Tung Munter, PA

  • Medical Physician Assistant
  • Port Washington, NY
  • NPI 1669891339
  Medicare reassignment
• Yolanda Tun-Chiong, D.O.

  • Family Medicine Physician
  • New York, NY
  • NPI 1083652606
  Medicare reassignment

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1437570256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MOTT ST",
            "address_2": "SUITE 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135540",
            "telephone_number": "646-355-3711",
            "fax_number": "212-300-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MOTT ST",
            "address_2": "SUITE 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135540",
            "telephone_number": "646-355-3711",
            "fax_number": "212-300-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "646-355-3711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Isabel Uquillas, B.A
• Sharon Uralil, D.O.
• Urban Dermatology PLLC
• Urban Health Plan, Inc
• Urban Indigenous Collective, LLC
• Urban Nutrition Consultants, LLC
• Urban Optometry PC
• Urban Pathways, Inc.
• Urban Pediatric Dental PC
• Urban Resource Institue

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.