Urban Newark, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

TUV007786 Issued in NY

Legal business name

URBAN NEWARK, INC.

Practice address

787 Broad St
Newark, NJ 07102-3717

Phone

(973) 810-5540

NPI assigned

Aug 30, 2016

Last updated

Aug 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara A Bader

Title

Manager

Phone

(973) 810-5540

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1811443880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023717",
            "telephone_number": "973-810-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023717",
            "telephone_number": "973-810-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN NEWARK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "BADER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-810-5540",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV007786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C309876",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Newark, NJ
• Providers in Newark, NJ by specialty
• Eyewear Supplier in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; 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.