Union Medical Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA049304 Issued in NJ

Legal business name

UNION MEDICAL GROUP, LLC

Practice address

2333 Morris Ave Ste A109
Union, NJ 07083-5715

Phone

(908) 688-5000

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nereida Diaz Johnson, MDNPI 1013939917

Title

President

Phone

(908) 688-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Nereida Diaz-Johnson, M.D.

  • Internal Medicine Physician
  • Union, NJ
  • NPI 1013939917
  Medicare reassignment Care Compare group NPD Authorized official
• Clark E. Philogene, M.D.

  • Internal Medicine Physician
  • Union, NJ
  • NPI 1558462044
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1487877809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE STE A109",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835715",
            "telephone_number": "908-688-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MORRIS AVE STE A109",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070835715",
            "telephone_number": "908-688-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "DIAZ JOHNSON",
        "authorized_official_first_name": "NEREIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-688-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA049304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0256404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• Internal Medicine Physician in Union, NJ
• Providers in Union, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.