NPIMap

Individual provider Active NPI

Kyudong Peter Uhm, M.D.

  • Hematology & Oncology Physician
  • Clifton, NJ
National Provider Identifier
1740222454
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA03065000 Issued in NJ
Practice address
1117 US Highway 46
Suite 205
Clifton, NJ 07013-2449
Phone
(973) 471-0981
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2019-02778 NC
Hematology & Oncology Physician 207RH0003X 25MA03065000 NJ Primary

Addresses

Primary practice location

1117 US Highway 46
Suite 205
Clifton, NJ 07013-2449

Mailing address

1 Diamond Hill Rd
Suite 205
Berkeley Heights, NJ 07922-2104
Phone (973) 471-0981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200316001637 NC Practitioner - Hematology/Oncology 9537217567 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Firsthealth of the Carolinas IncGroup PAC ID 8820909377, 138 clinicians

Practice addresses (Care Compare)

1212 Central Dr
Suite 201
Sanford, NC 27330-4170
Phone (919) 775-8183

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03065000NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Feb 19, 2020 Accepting new patients
Firsthealth of the Carolinas, Inc. CurrentSince Jul 21, 2025 Accepting new patients
East Carolina Health-Bertie CurrentSince Aug 23, 2021 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Jul 21, 2025 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Jun 29, 2020 Accepting new patients
Firsthealth of the Carolinas, Inc. Current Accepting new patients
Vidant Medical Group LLC CurrentSince Feb 19, 2020 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Jun 29, 2020 Accepting new patients
East Carolina Health-Bertie CurrentSince Aug 23, 2021 Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

1212 Central Dr
Ste 201
Sanford, NC 27330
Phone (919) 775-8183

1212 Central Dr
Ste 101
Sanford, NC 27330

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

1403 S King St
Windsor, NC 27983
Phone (252) 794-6685

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1740222454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "address_2": "SUITE 205",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "973-471-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 US HIGHWAY 46",
            "address_2": "SUITE 205",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132449",
            "telephone_number": "973-471-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UHM",
        "first_name": "KYUDONG",
        "middle_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2019-02778",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA03065000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.