Ubersticks Medical LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UBERSTICKS MEDICAL LLC

Practice address

17 Monroe Street
Passaic, NJ 07055-8108

Phone

(973) 405-8595

Fax

(973) 272-3647

NPI assigned

Jun 15, 2021

Organization subpart

No

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

Authorized official

Name

Deyanira Pena PlacenciaNPI 1346829579

Title

Owner

Phone

(973) 405-8595

Specialties & licenses 3

Addresses

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

Practitioners 1

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

• Deyanira Pena-Placencia, INDEPENDENT CONTRACT

  • Blood Bank
  • Passaic, NJ
  • NPI 1346829579
  NPD Authorized official

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1528636594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MONROE ST APT 2A",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070558108",
            "telephone_number": "973-405-8595",
            "fax_number": "973-272-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MONROE STREET",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070558108",
            "telephone_number": "973-405-8595",
            "fax_number": "973-272-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBERSTICKS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "PENA PLACENCIA",
        "authorized_official_first_name": "DEYANIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-405-8595"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tru Passaic Inc
• Stephanie Trusty
• Terri Tuchman, M.S. CCC/SLP
• Nayanika Chowdary Tummala, M.D
• Chana Risa Twersky, MSED
• Motria O Ukrainskyj, M.D.
• Jacqueline Ulloa
• Alma C Umali, M.D.
• V&V Footcare LLC
• Ankita Vaidya, MD

• Clinical Medical Laboratory in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.