Underwood-Memorial Hospital

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

UNDERWOOD-MEMORIAL HOSPITAL

Doing business as

Underwood-Memorial Hospital Breast Center

Practice address

155 Bridgeton Pike
Mullica Hill, NJ 08062-2669

Phone

(856) 845-0100

NPI assigned

Jan 21, 2011

Last updated

Jan 21, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

UNDERWOOD-MEMORIAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. John W. Graham, EXEC. VP, COO

Title

Exec. VP, Chief Operating Officer

Phone

(856) 845-0100

Specialties & licenses 1

Addresses

Other names 1

• Underwood-Memorial Hospital Breast Center Doing business as

Part of

FHC of Glassboro

Locations

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1619272770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961617",
            "telephone_number": "856-845-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BRIDGETON PIKE",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622669",
            "telephone_number": "856-845-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERWOOD-MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNDERWOOD-MEMORIAL HOSPITAL",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "EXEC. VP, CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "856-845-0100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EXEC. VP, COO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Underwood-Memorial Hospital Breast Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Veronica Eunice Dunigan Vargo, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.