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United Medical PC

Internal Medicine Physician in Lyndhurst, NJ · enumerated 2006 · authorized official Byong Park, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124066048

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Registry record

Entity type Organization (Type 2)
Legal business name United Medical PC
Practice address 612 Rutherford Ave, Lyndhurst, NJ, 07071
Phone (201) 460-0063
Fax (201) 460-1684
Enumeration date Jun 3, 2006
Last updated in NPPES Feb 11, 2014

Taxonomy & classification

133V00000X Registered Dietitian Dietary & Nutritional Service Providers · License 933910 (NJ) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 25MA0352770 (NJ) Secondary
207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 25MA08490600 (NJ) Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 25MA04562300 (NJ) Primary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 25MA09171800 (NJ) Secondary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians · License 25MA08599900 (NJ) Secondary
207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians · License MA062232 (NJ) Secondary
207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians · License 25MA0497600 (NJ) Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License 25MA05208400 (NJ) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 25MA063700000 (NJ) Secondary
208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License 25MA08540700 (NJ) Secondary
2085R0204X Vascular & Interventional Radiology Physician Allopathic & Osteopathic Physicians · License MA048966 (NJ) Secondary
363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 26NJ00326000 (NJ) Secondary

Authorized official

Name Byong Park
Title President
Phone (201) 460-0063

Other identifiers

Identifier Type State Issuer
25MA07920500 Other NJ MD LICENSE
7930101 Medicaid NJ -
1163604 Medicaid NJ -
0174653 Medicaid NJ -
978514 Other - CERTIFICATE AMERICAN DIETETIC ASSOCIATION
26NJ00326000 Other NJ ADVANCED NURSE PRACTITIONER
7326505 Medicaid NJ -
25MD00232400 Other NJ DPM LICENSE
7027508 Medicaid NJ -
0251623 Medicaid NJ -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for United Medical PC?
The NPI for United Medical PC is 1124066048, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for United Medical PC?
NPPES lists Byong Park (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-02-11.