Underwood-Memorial Hospital

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

FACILITY10801 Issued in NJ

Legal business name

UNDERWOOD-MEMORIAL HOSPITAL

Doing business as

UMH Family Health Center of Woolwich

Practice address

100 Lexington Rd
BLDG 1
Woolwich Township, NJ 08085-1276

Phone

(856) 467-7360

Fax

(856) 467-5959

NPI assigned

Jun 9, 2006

Organization subpart

Yes

Parent organization

UNDERWOOD-MEMORIAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. John W. Graham

Title

Exec.VP/ Coo

Phone

(856) 845-0100

Specialties & licenses 2

Addresses

Other names 1

• UMH Family Health Center of Woolwich Doing business as

Part of

FHC of Glasboro

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1952342990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 DELSEA DR N",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281444",
            "telephone_number": "856-686-5480",
            "fax_number": "856-686-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LEXINGTON RD",
            "address_2": "BLDG 1",
            "city": "WOOLWICH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851276",
            "telephone_number": "856-467-7360",
            "fax_number": "856-467-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDERWOOD-MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNDERWOOD-MEMORIAL HOSPITAL",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "EXEC.VP/ COO",
        "authorized_official_telephone_number": "856-845-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "FACILITY10801",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMH Family Health Center of Woolwich",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sirin Pandey, MD
• Sarah Pollack, APN
• Nishit Shah, D.M.D.
• Jacqueline S Sonsini, PT
• Thrive Home Therapy LLC
• Marissa B. Weiss-Baker, DO
• Kia N Williams
• Tyler Wilson, DPT
• Alice Wofsy, M.D.
• Colleen Yen

• Family Medicine Physician in Woolwich Township, NJ
• Providers in Woolwich Township, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.