NPIMap

Organization Active NPI

Ulysses V Agpaoa MD PC

  • Primary Care Clinic/Center
  • Newark, NJ
National Provider Identifier
1992987937
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25MA05880900 Issued in NJ
Legal business name
ULYSSES V AGPAOA MD PC
Practice address
539 Bloomfield Ave
Newark, NJ 07107-1385
Phone
(973) 481-9000
Fax
(973) 481-9022
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Karen Rini-Agpaoa
Title
Office Manager
Phone
(908) 832-9091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 25MA05880900 NJ Primary

Addresses

Primary practice location

539 Bloomfield Ave
Newark, NJ 07107-1385

Mailing address

4 Big Spring Rd
Califon, NJ 07830-3430
Phone (908) 832-9091

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1992987937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BIG SPRING RD",
            "city": "CALIFON",
            "state": "NJ",
            "postal_code": "078303430",
            "telephone_number": "908-832-9091",
            "fax_number": "908-832-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 BLOOMFIELD AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071071385",
            "telephone_number": "973-481-9000",
            "fax_number": "973-481-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULYSSES V AGPAOA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "RINI-AGPAOA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-832-9091"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA05880900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.