Provider Demographics
NPI:1770691032
Name:UY, VENA (MD)
Entity Type:Individual
Prefix:MRS
First Name:VENA
Middle Name:
Last Name:UY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 PALISADE AVENUE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-1108
Mailing Address - Country:US
Mailing Address - Phone:201-653-0506
Mailing Address - Fax:201-653-6229
Practice Address - Street 1:142 PALISADE AVENUE
Practice Address - Street 2:SUITE 102
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-1108
Practice Address - Country:US
Practice Address - Phone:201-653-0506
Practice Address - Fax:201-653-6229
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA028762207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1872401Medicaid
UY506628Medicare ID - Type Unspecified
NJ1872401Medicaid