Underwood-Memorial Hospital

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

UNDERWOOD-MEMORIAL HOSPITAL

Practice address

34 Colson LN
Mullica Hill, NJ 08062-1502

Phone

(856) 223-0500

Fax

(856) 223-0966

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Patricia Innamorato

Title

Office Manager

Phone

(856) 223-0500

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1538174271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 DELSEA DR N",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281444",
            "telephone_number": "856-223-0500",
            "fax_number": "856-223-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 COLSON LN",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621502",
            "telephone_number": "856-223-0500",
            "fax_number": "856-223-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERWOOD-MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "INNAMORATO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-223-0500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7183402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erev E Tubb, M.D.
• Pamela Renee Tull, PHD
• Miranda Alexandra Turner
• Olga A Tusheva, M.D.
• Robert Brendan Ulrich, DO
• Underwood-Memorial Hospital
• Ashfaque A Unwala, MD
• Josmely Raquel Urena Montilla, M.D.
• Sherry Valente, MA, RD, LDN
• Cheryl Varga, LPN

• Family Medicine Physician in Mullica Hill, NJ
• Providers in Mullica Hill, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.