James a Underberg MD PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

JAMES A UNDERBERG MD PLLC

Practice address

110 E 55TH St FL 9
New York, NY 10022-4540

Phone

(212) 207-1959

Fax

(855) 860-3844

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Authorized official

Name

James A Underberg, MDNPI 1538167127

Title

Proprietor/Owner

Phone

(917) 880-1420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• James A Underberg, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1538167127
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1700429784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E 56TH ST APT 9A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100220901",
            "telephone_number": "212-207-1959",
            "fax_number": "914-761-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 55TH ST FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224540",
            "telephone_number": "212-207-1959",
            "fax_number": "855-860-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A UNDERBERG MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "UNDERBERG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROPRIETOR/OWNER",
        "authorized_official_telephone_number": "917-880-1420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ananya Jambekar
• Rachel Jambois, PT, DPT
• Robert Hadley Jame
• Ihab Jameel, M.D
• James a Kennedy Physical Therapist PLLC
• James C Farmer MD PC
• James Chelnis MD PC
• James Corregano Chiropractic, PC
• James D. Lax, M.D.P.C.
• James Fowler PT., PC

• Primary Care Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.