Universal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

UNIVERSAL MEDICINE, LLC

Practice address

103 River Rd
Suite 101
Edgewater, NJ 07020-1016

Phone

(201) 308-8995

Fax

(201) 917-3603

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Domenico Rotoli, DONPI 1760700215

Title

Chief Medical Officer

Phone

(201) 308-8995

Specialties & licenses 1

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 8

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

• Domenico Rotoli, DO

  • Internal Medicine Physician
  • Edgewater, NJ
  • NPI 1760700215
  Medicare reassignment Care Compare group NPD Authorized official
• John J Doerr, M.D.

  • Diagnostic Radiology Physician
  • Clifton, NJ
  • NPI 1194808717
  Medicare reassignment Care Compare group NPD
• Brian Legg

  • Psychologist
  • Edgewater, NJ
  • NPI 1114399383
  Medicare reassignment Care Compare group NPD
• Sana Naeem, M.D

  • Psychiatry Physician
  • Old Bridge, NJ
  • NPI 1922533165
  Medicare reassignment Care Compare group NPD
• Nkechi R Fyle, R.D.

  • Registered Dietitian
  • Paramus, NJ
  • NPI 1265569941
  Medicare reassignment NPD
• Lilia Deneb Vento Valverde, APRN

  • Family Nurse Practitioner
  • Port Orange, FL
  • NPI 1912581737

  NJ

  Medicare reassignment NPD
• Edward Dovlatyan

  • Clinical Social Worker
  • Bloomfield, NJ
  • NPI 1124629555
  NPD
• Amaury A Garcia, NP

  • Adult Health Nurse Practitioner
  • Edgewater, NJ
  • NPI 1770310492
  NPD (past)

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1649648809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 RIVER RD",
            "address_2": "SUITE 101",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "201-308-8995",
            "fax_number": "201-917-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RIVER RD",
            "address_2": "SUITE 101",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201016",
            "telephone_number": "201-308-8995",
            "fax_number": "201-917-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "ROTOLI",
        "authorized_official_first_name": "DOMENICO",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "201-308-8995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Frances Trela, MD
• Ma Le Trieu, OD
• True Balance Wellness Group
• Shubha Varma, M.D.
• Linda Velazquez, PHARMD.
• Waterfront Institute for Spine and Joint Rehabilitation
• Andrew Weisberg
• Welltower Opco Group LLC

• Internal Medicine Physician in Edgewater, NJ
• Providers in Edgewater, 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 Mar 29, 2024; 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.