G L Payumo MD PA

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

25MA08297000 Issued in NJ

Legal business name

G L PAYUMO MD PA

Practice address

205 May St Ste 103
Edison, NJ 08837-3267

Phone

(732) 661-9075

NPI assigned

Oct 10, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Gene Louie Payumo, M.D.

Title

President

Phone

(732) 826-4177

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Gene L Payumo, M.D.

  • Anesthesiology Physician
  • Whiting, NJ
  • NPI 1093906687
  Medicare reassignment

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1811324650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 CORBIN CT",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017443",
            "telephone_number": "732-826-4177",
            "fax_number": "732-607-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAY ST STE 103",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373267",
            "telephone_number": "732-661-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G L PAYUMO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "PAYUMO",
        "authorized_official_first_name": "GENE LOUIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-826-4177",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "25MA08297000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FRL Speech (Stripes of Speech)
• Frontier Anesthesia, LLC
• Tie-Bo Fu, MD
• Erin Fults, PSYD
• Frank Fumo, PHARMD
• Princy Gabani, PT
• Nancy E Gadallah, MD
• Niraj Gadhavi, DDS
• Matthew Gafur
• Amit Anil Gaglani, P.T.

• Preferred Provider Organization in Edison, NJ
• Providers in Edison, NJ by specialty
• Preferred Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.