NPIMap

Organization Active NPI

Ubylee Healthcare Group, PLLC

  • Specialist
  • Gastonia, NC
National Provider Identifier
1700658036
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
UBYLEE HEALTHCARE GROUP, PLLC
Practice address
1044 X Ray Dr
Gastonia, NC 28054-7488
Phone
(980) 262-3007
Fax
(980) 262-3528
NPI assigned
Oct 30, 2023
Last updated
Dec 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Baptiste Marino, MDNPI 1104070820
Title
Owner
Phone
(980) 262-3007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Specialist 174400000X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

1044 X Ray Dr
Gastonia, NC 28054-7488

Mailing address

9723 Northeast Pkwy Ste 100
Matthews, NC 28105-9719
Phone (980) 262-3007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190417002402 NC Part B Supplier - Clinic/Group Practice 8921349044 Receives reassigned benefits from 16 practitioners
2 other NPIs on this enrollment
Practice locations: Gastonia, NC; Matthews, NC; Kannapolis, NC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ubylee Healthcare Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1700658036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9723 NORTHEAST PKWY STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059719",
            "telephone_number": "980-262-3007",
            "fax_number": "980-262-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 X RAY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547488",
            "telephone_number": "980-262-3007",
            "fax_number": "980-262-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBYLEE HEALTHCARE GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "BAPTISTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-262-3007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.