University Medical Office NJ, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08476500 Issued in NJ

Legal business name

UNIVERSITY MEDICAL OFFICE NJ, LLC

Practice address

56 Linden St
Hackensack, NJ 07601-3554

Phone

(551) 333-3456

Fax

(646) 393-9081

NPI assigned

Jan 25, 2013

Last updated

Jan 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christian Arturo Belliard Estevez, MD

Title

Medical Director

Phone

(551) 333-3456

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1609114628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 LINDEN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013554",
            "telephone_number": "551-333-3456",
            "fax_number": "646-393-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 LINDEN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013554",
            "telephone_number": "551-333-3456",
            "fax_number": "646-393-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY MEDICAL OFFICE NJ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "BELLIARD ESTEVEZ",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "ARTURO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "551-333-3456",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08476500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hackensack, NJ
• Providers in Hackensack, 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 Jan 25, 2013; 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.