Provider Demographics
NPI:1720161680
Name:UMALI, ALMA C (MD)
Entity Type:Individual
Prefix:DR
First Name:ALMA
Middle Name:C
Last Name:UMALI
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 1:149 GLADSTONE DR
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-3419
Mailing Address - Country:US
Mailing Address - Phone:973-402-8754
Mailing Address - Fax:973-470-3506
Practice Address - Street 1:211 PENNINGTON AVE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4617
Practice Address - Country:US
Practice Address - Phone:973-470-3000
Practice Address - Fax:973-470-3506
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02688800207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3719804Medicaid
NJ3719804Medicaid
NJ520767TLMMedicare ID - Type Unspecified