UNION SQUARE MEDICAL ASSOCIATES PC NPI 1790826287

NPI Information

  • NPI: 1790826287
  • Provider Name: UNION SQUARE MEDICAL ASSOCIATES, PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 31D0706830
  • Address: 824 ELIZABETH AVE
    ELIZABETH, NJ
    ZIP 07201
  • Phone: (908) 352-9556

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NPI Details

UNION SQUARE MEDICAL ASSOCIATES, PC is a family medicine in Elizabeth, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. UNION SQUARE MEDICAL ASSOCIATES, PC NPI is 1790826287. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

824 ELIZABETH AVE
ELIZABETH, NJ
ZIP 07201-709
Phone: (908) 352-9556
Fax: (908) 352-9134

The provider's authorized official is Guillermo Munoz .
The authorized official title is President and has the following contact phone number (908) 362-9556.

The CLIA number assigned to this NPI record is 31D0706830 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine5721200NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13305201MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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