Active NPI
Medical Clinic Caring International & Wellness Center LLC
- Gerontology Nurse Practitioner
- Union, NJ
National Provider Identifier
1790628451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- MEDICAL CLINIC CARING INTERNATIONAL & WELLNESS CENTER LLC
- Practice address
- 8 Jensen LN
Union, NJ 07083-7925 - Phone
- (973) 725-4078
- NPI assigned
- Apr 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Polanco, NP
- Title
- NP
- Phone
- (973) 725-4078
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
8 Jensen LN
Union, NJ 07083-7925
Mailing address
8 Jensen LN
Union, NJ 07083-7925
Phone (973) 725-4078
National Provider Directory
National Provider Directory- Tax ID family
- Medical Clinic Caring International Wellness Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Gerontology Nurse Practitioner
- Plainfield, NJ
- NPI 1437924297
Practitioners & affiliated clinicians
Practitioners 1
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": "1775692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775692800000",
"number": "1790628451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 JENSEN LN",
"city": "UNION",
"state": "NJ",
"postal_code": "070837925",
"telephone_number": "973-725-4078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 JENSEN LN",
"city": "UNION",
"state": "NJ",
"postal_code": "070837925",
"telephone_number": "973-725-4078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL CLINIC CARING INTERNATIONAL & WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-09",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A",
"authorized_official_last_name": "POLANCO",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "973-725-4078",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.