Provider Demographics
NPI:1073671772
Name:INTERNAL MEDICINE ASSOCIATES OF UNION, P.C.
Entity Type:Organization
Organization Name:INTERNAL MEDICINE ASSOCIATES OF UNION, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERPHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:LAURA
Authorized Official - Last Name:BARSANTI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:908-755-5400
Mailing Address - Street 1:10 SHAWNEE DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-5803
Mailing Address - Country:US
Mailing Address - Phone:908-755-5400
Mailing Address - Fax:908-755-6979
Practice Address - Street 1:10 SHAWNEE DR
Practice Address - Street 2:SUITE 3
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-5803
Practice Address - Country:US
Practice Address - Phone:908-755-5400
Practice Address - Fax:908-755-6979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB07478500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0102687Medicaid
NJ083842-TT2Medicare ID - Type Unspecified
NJI18077Medicare UPIN