Union Medical Office LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

UNION MEDICAL OFFICE LLC

Practice address

701 State RT 440 Ste 33
Jersey City, NJ 07304-1069

Phone

(201) 208-1423

Fax

(800) 862-8204

NPI assigned

Aug 15, 2023

Organization subpart

No

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

Authorized official

Name

Xiaorong Yan, MD/MANAGING MEMBERNPI 1811125776

Title

MD/Managing Member

Phone

(201) 208-1423

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Xiaorong Yan, MD

  • Hospitalist Physician
  • Kalamazoo, MI
  • NPI 1811125776

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1811770787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 STATE RT 440 STE 33",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041069",
            "telephone_number": "201-208-1423",
            "fax_number": "800-862-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 STATE RT 440 STE 33",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073041069",
            "telephone_number": "201-208-1423",
            "fax_number": "800-862-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION MEDICAL OFFICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "XIAORONG",
        "authorized_official_title_or_position": "MD/MANAGING MEMBER",
        "authorized_official_telephone_number": "201-208-1423",
        "authorized_official_credential": "MD/MANAGING MEMBER"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.