Provider Demographics
NPI:1013900315
Name:UNION HEALTH CENTER
Entity type:Organization
Organization Name:UNION HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:HARRIS
Authorized Official - Middle Name:K
Authorized Official - Last Name:LAMPERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-812-3548
Mailing Address - Street 1:PO BOX 27706
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-7706
Mailing Address - Country:US
Mailing Address - Phone:212-812-3551
Mailing Address - Fax:
Practice Address - Street 1:275 7TH AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6708
Practice Address - Country:US
Practice Address - Phone:212-812-3115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-23
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218665207Q00000X
NY142913207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA60061Medicare UPIN
NYP81889Medicare UPIN
NYH18429Medicare UPIN
NYC08038Medicare UPIN
NY33-6542Medicare ID - Type UnspecifiedUNITE HEALTH CENTER 2
NYF25472Medicare UPIN
NYH41914Medicare UPIN
NYH44215Medicare UPIN
NYB11554Medicare UPIN
NYC33513Medicare UPIN
NYG47392Medicare UPIN
NYU61586Medicare UPIN
NYH95359Medicare UPIN
NYB22033Medicare UPIN
NYE84126Medicare UPIN
NYF49230Medicare UPIN
NYG48799Medicare UPIN
NYW0773Medicare ID - Type UnspecifiedUNITE HEALTH CENTER 1
NYD39028Medicare UPIN
NYG39178Medicare UPIN