NPIMap

Organization Active NPI

Underwood-Memorial Hospital

Doing business as Underwood Neurology

  • Neurology Physician
  • Woolwich TWP, NJ
National Provider Identifier
1548519457
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
UNDERWOOD-MEMORIAL HOSPITAL
Doing business as
Underwood Neurology
Practice address
100 Lexington Rd
BLDG 1
Woolwich TWP, NJ 08085-1276
Phone
(856) 467-7360
NPI assigned
Sep 6, 2012
Organization subpart
Yes
Parent organization
UNDERWOOD-MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Mr. John W Graham
Title
Exec.VP/ Coo
Phone
(856) 845-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

100 Lexington Rd
BLDG 1
Woolwich TWP, NJ 08085-1276

Mailing address

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 686-5480

Other names 1

  • Underwood Neurology Doing business as

National Provider Directory

National Provider Directory
Part of
FHC of Glasboro

Locations

100 Lexington Rd
Bldg 1
Woolwich Twp, NJ 08085
Phone (856) 223-0436

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1548519457",
    "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": "08028",
            "telephone_number": "856-686-5480",
            "fax_number": "856-686-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LEXINGTON RD",
            "address_2": "BLDG 1",
            "city": "WOOLWICH TWP",
            "state": "NJ",
            "postal_code": "080851276",
            "telephone_number": "856-467-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERWOOD-MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNDERWOOD-MEMORIAL HOSPITAL",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXEC.VP/ COO",
        "authorized_official_telephone_number": "856-845-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Underwood Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woolwich TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.