NPI Code Detail JSON Logo

1285516211 NPI number — UPTOWN MEDICAL PC

NPI Number: 1285516211
Health Care Provider/Practitioner: UPTOWN MEDICAL PC

Information about “1285516211” NPI (UPTOWN MEDICAL PC) exists in 1285516211 in HTML format HTML  |  1285516211 in plain Text format TXT  |  1285516211 in PDF (Portable Document Format) PDF  |  1285516211 in an XML format XML  formats.

NPI Number : 1285516211 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285516211",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "UPTOWN MEDICAL PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "185 KINGSLAND ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NUTLEY",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07110-1119",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "973-816-2259",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "680 KINDERKAMACK RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORADELL",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07649-1600",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "973-816-2259",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/22/2025",
    "LastUpdateDate": "07/22/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MOHAMMED",
    "AuthorizedOfficialFirstName": "NEESHA",
    "AuthorizedOfficialMiddleName": "N",
    "AuthorizedOfficialTitle": "OPERATION MANAGER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "973-816-2259",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2081P0004X",
          "TaxonomyName": "Spinal Cord Injury Medicine Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2081P2900X",
          "TaxonomyName": "Pain Medicine (Physical Medicine & Rehabilitation) Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207X00000X",
          "TaxonomyName": "Orthopaedic Surgery Physician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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