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CLEMENTINO PURISIMA MD
NPI 1144354788
General Practice in Union City, NJ

Active since March 15, 2007PECOS Enrolled
1005 NEW YORK AVE, UNION CITY, NJ 07087(201) 863-5065(201) 934-1383 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clementino Purisima Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEMENTINO PURISIMA MD (NPI 1144354788) is an individual general practice provider in Union City, New Jersey, licensed in New Jersey (MA03503500) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144354788
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameCLEMENTINO PURISIMACredential: MD
Location Address1005 NEW YORK AVEUnion City, NJ 07087-4127
Mailing Address41 Gristmill LnUpper Saddle River, NJ 07458-1316 · (201) 863-5065 · Fax (201) 934-1383
Phone(201) 863-5065
Fax(201) 934-1383
Sole ProprietorYes
Enumeration DateMarch 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144354788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NJ · MA03503500
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1005 NEW YORK AVE, Union City, NJ 07087
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clementino Purisima Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN PURISIMA DPM, LLC
Podiatrist (Foot & Ankle Surgery)
1005 NEW YORK AVE
UNION CITY, NJ 07087
Hudson County (201) 394-1703
DR. JONATHAN GRECIA PURISIMA DPM
Podiatrist (Foot & Ankle Surgery)
1005 NEW YORK AVE
UNION CITY, NJ 07087
Hudson County (201) 394-1703
ANNA MARIE PURISIMA, D.C., LLC
Clinic/Center (Health Service)
1005 NEW YORK AVE
UNION CITY, NJ 07087
Hudson County (201) 820-7447

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clementino Purisima's NPI number?

The NPI number for Clementino Purisima is 1144354788. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Clementino Purisima located?

Clementino Purisima practices at 1005 New York Ave, Union City, NJ 07087. The listed phone number is (201) 863-5065.

What is Clementino Purisima's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Clementino Purisima enrolled in Medicare?

Yes. Clementino Purisima is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Clementino Purisima was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.