Organization Active NPI

Oasis Orthopedic Pain and Wellness of Union, LLC

  • Specialist
  • Union, NJ
National Provider Identifier
1518364629
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06309600 Issued in NJ
Legal business name
OASIS ORTHOPEDIC PAIN AND WELLNESS OF UNION, LLC
Practice address
950 West Chestnut
Suite 101
Union, NJ 07083
Phone
(844) 366-8800
NPI assigned
Dec 4, 2014
Last updated
Aug 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
David Shepherd
Title
VP
Phone
(844) 366-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA06309600 NJ Primary

Addresses

Primary practice location

950 West Chestnut
Suite 101
Union, NJ 07083

Mailing address

85 Harristown Rd
Suite 103
Glen Rock, NJ 07452-3329
Phone (844) 366-8800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1518364629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HARRISTOWN RD",
            "address_2": "SUITE 103",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523329",
            "telephone_number": "844-366-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WEST CHESTNUT",
            "address_2": "SUITE 101",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "07083",
            "telephone_number": "844-366-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS ORTHOPEDIC PAIN AND WELLNESS OF UNION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "844-366-8800"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06309600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.