Healthcare Provider Details

I. General information

NPI: 1104732569
Provider Name (Legal Business Name): UECHI TELEMEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 KINDERKAMACK RD STE 102
ORADELL NJ
07649-2259
US

IV. Provider business mailing address

222 KINDERKAMACK RD STE 102
ORADELL NJ
07649-2259
US

V. Phone/Fax

Practice location:
  • Phone: 973-896-2832
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. SANTANGELA GATSON
Title or Position: OWNER
Credential:
Phone: 973-896-2832