UNITED MEDICAL PC (NPI# 1730503061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730503061 |
| Entity Type | Organization |
| Organization Name | UNITED MEDICAL PC |
| Other Organization Name | UNITED MEDICAL- LYNDHURST |
| Practice Address |
612 Rutherford Ave Lyndhurst NJ 07071-1217 |
| Mailing Address |
9276 Scranton Rd Suite 100 San Diego CA 92121-7701 |
| Practice Telephone | 2014600063 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | SCOTT PETERSON (CFO) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25MA04594000 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| United Medical- Lyndhurst | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558785881 | United Medical PC | Non-Pharmacy Dispensing Site | 533 Lexington Ave, Clifton, NJ 07011 | 2014-02-06 |
| 1821412156 | United Medical PC | Non-Pharmacy Dispensing Site | 988 Broadway, Suite 201, Bayonne, NJ 07002-4036 | 2014-02-06 |
| 1831498666 | United Medical PC | Dietitian, Registered | 19 E 27th St, Bayonne, NJ 07002-4608 | 2011-03-18 |
| 1215236047 | United Medical PC | Internal Medicine | 1117 Route 46, Suite 205, Clifton, NJ 07013-2449 | 2011-03-18 |
| 1013216845 | United Medical PC | Dietitian, Registered | 300 Parker Ave, Clifton, NJ 07011-1456 | 2011-03-18 |
| 1124066048 | United Medical PC | Dietitian, Registered | 612 Rutherford Ave, Lyndhurst, NJ 07071-1217 | 2006-06-03 |
| Street Address |
612 RUTHERFORD AVE |
| City | LYNDHURST |
| State | NJ |
| Zip Code | 07071-1217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235104506 | Byong K. Park | Internal Medicine | 612 Rutherford Ave, Lyndhurst, NJ 07071-1217 | 2006-02-21 |
| 1639594377 | Bhmg - United Medical | Family Medicine | 612 Rutherford Ave, Lyndhurst, NJ 07071-1217 | 2014-03-04 |
| 1932446374 | Miaoying Zhang | Internal Medicine | 612 Rutherford Ave, Lyndhurst, NJ 07071-1217 | 2013-01-04 |
| 1922356898 | Amandeep Singh | Internal Medicine | 612 Rutherford Ave, Lyndhurst, NJ 07071-1217 | 2012-08-26 |
| 1356650667 | Amy Monzo | Dietitian, Registered | 612 Rutherford Ave, Lyndhurst, NJ 07071 | 2010-10-04 |
| 1235386574 | Marina A Strizhevsky | Internal Medicine | 612 Rutherford Ave, Lyndhurst, NJ 07071-1217 | 2008-08-19 |
| 1891956876 | Marwa Mohamed Hazzah | Internal Medicine | 612 Rutherford Ave, Lyndhurst, NJ 07071-1217 | 2008-06-22 |
| 1316121049 | Meir Dershowitz | Physician Assistant | 612 Rutherford Ave, Lyndhurst, NJ 07071-1217 | 2007-12-17 |
| 1740488402 | Stanislav Goykhman | Internal Medicine | 612 Rutherford Ave, Lyndhurst, NJ 07071-1217 | 2007-07-04 |
| 1124066048 | United Medical PC | Dietitian, Registered | 612 Rutherford Ave, Lyndhurst, NJ 07071-1217 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316504905 | Sarah West | Counselor | 1050 Well St West, Suite 310, Lyndhurst, NJ 07071 | 2019-05-20 |
| 1124588496 | Reed Next, Inc. | Clinic/Center | 1 Dekorte Park Plaza, Lyndhurst, NJ 07071 | 2019-03-22 |
| 1881181733 | Vein Care Associates of Nj Inc. | Specialist | 576 Valley Brook Ave., Suite 2, Lyndhurst, NJ 07071 | 2018-04-17 |
| 1952815789 | Michael Zakko | Acupuncturist | 480 Stuyvesant Ave, Lyndhurst, NJ 07071 | 2017-12-01 |
| 1083131544 | Core Surgery Center LLC | Clinic/Center | 256 Stuyvesant Avenue, Lyndhurst, NJ 07071 | 2017-08-25 |
| 1013446434 | Eva Pena | Counselor | 516 Valleybrook Ave., Lyndhurst, NJ 07071 | 2017-06-08 |
| 1578973392 | Boston Medical Group-new Jersey, P.a. | Urology | 1050 Wall Street West, Suite 120, Lyndhurst, NJ 07071 | 2014-05-01 |
| 1962849935 | Guardian Intraoperative Neuromomitoring | Clinic/Center | 576 Valley Brook Ave, Lyndhurst, NJ 07071 | 2013-05-30 |
| 1568736106 | Metro Anesthesia Associates LLC | Specialist | 256 Stuyvesant Ave, Lyndhurst, NJ 07071 | 2012-02-29 |
| 1215235437 | Sanil Gandhi | Pharmacist | 321 Wilson Avenue, Lyndhurst, NJ 07071 | 2011-03-11 |
| Find all providers in zip 07071 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619218542 | First Care Medical Group Inc | Non-Pharmacy Dispensing Site | 750 Valley Brook Ave, Lyndhurst, NJ 07071-1301 | 2013-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1942787981 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 63 Route 70 E, Evesham, NJ 08053-1749 | 2018-07-23 |
| 1750881082 | Qpharma Inc | Non-Pharmacy Dispensing Site | 1613 Route 47, Rio Grande, NJ 08242-1411 | 2018-02-13 |
| 1588187439 | Advanced Feet and Ankle Care | Non-Pharmacy Dispensing Site | 2477 County Rd 516, Old Bridge, NJ 08857-4603 | 2017-07-24 |
| 1275054967 | Nj Pain Care Specialists | Non-Pharmacy Dispensing Site | 1806 Route 35 Ste 305, Oakhurst, NJ 07755-2764 | 2017-07-03 |
| 1053855601 | Edward Magaziner, Md | Non-Pharmacy Dispensing Site | 2186 New Jersey 27, North Brunswick, NJ 08902 | 2016-12-15 |
| 1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
| 1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
| 1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
| 1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.