United Medical Group 1 LLP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

UNITED MEDICAL GROUP 1 LLP

Practice address

129 1St St
Elizabeth, NJ 07206-1781

Phone

(908) 469-1677

Fax

(908) 469-1678

NPI assigned

Oct 26, 2021

Organization subpart

No

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

Authorized official

Name

Abraham Vera, NPNPI 1154764603

Title

Owner

Phone

(908) 469-1677

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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

• Abraham M Vera, NP

  • Adult Health Nurse Practitioner
  • Bayonne, NJ
  • NPI 1154764603
  Medicare reassignment NPD Authorized official
• Beth M. Damato-Pantano, APRN-BC

  • Adult Health Nurse Practitioner
  • Oradell, NJ
  • NPI 1912333709
  NPD

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1992469910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 BERGEN BLVD",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076492250",
            "telephone_number": "908-469-1677",
            "fax_number": "908-469-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 1ST ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072061781",
            "telephone_number": "908-469-1677",
            "fax_number": "908-469-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL GROUP 1 LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "VERA",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-469-1677",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.