Organization Active NPI

Julio H Urena MD PA

  • Internal Medicine Physician
  • Clifton, NJ
National Provider Identifier
1720034184
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA58979 Issued in NJ
Legal business name
JULIO H URENA MD PA
Practice address
40 Union Ave
Clifton, NJ 07011-2219
Phone
(973) 574-0010
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Dr. Julio H Urena, MD
Title
Owner
Phone
(973) 574-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA58979 NJ Primary

Addresses

Primary practice location

40 Union Ave
Clifton, NJ 07011-2219

Mailing address

40 Union Ave
Clifton, NJ 07011-2219
Phone (973) 574-0010

Other identifiers 1

IdentifierTypeStateIssuer
6048102MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1720034184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 UNION AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112219",
            "telephone_number": "973-574-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 UNION AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070112219",
            "telephone_number": "973-574-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIO H URENA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "URENA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-574-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA58979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6048102",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.