1. Home
  2. Directory
  3. New Jersey
  4. Clifton
  5. Internal Medicine
  6. NPI Profile

DR. JULIO H URENA MD
NPI 1356302186
Internal Medicine in Clifton, NJ

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
40 UNION AVE, CLIFTON, NJ 07011(973) 574-0010(973) 574-0031 Get Directions Write a Review

NPPES record last updated: June 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Julio H Urena Md NPPES

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

DR. JULIO H URENA MD (NPI 1356302186) is an individual internal medicine provider in Clifton, New Jersey, licensed in New Jersey (MA58979) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1356302186
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JULIO H URENACredential: MD
Location Address40 UNION AVEClifton, NJ 07011-2219
Mailing Address40 Union AveClifton, NJ 07011-2219 · (973) 574-0010 · Fax (973) 574-0031
Phone(973) 574-0010
Fax(973) 574-0031
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateMarch 31, 2006
Last NPPES UpdateJune 6, 2017
✔ NPI 1356302186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA58979
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
40 UNION AVE, Clifton, NJ 07011
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified058819NJ
Medicare UPINF71364NJ
Medicaid6048102NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Julio H Urena Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416941562
PECOS Enrollment IDI20040412001100
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
98 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services28 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
20 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims22 services$6.60 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$13.41 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers21 claims21 services$4.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

SALEH I KHADDASH MD PA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
40 UNION AVE
CLIFTON, NJ 07011
Passaic County (973) 546-3355
JULIO H URENA MD PA
Internal Medicine
40 UNION AVE
CLIFTON, NJ 07011
Passaic County (973) 574-0010

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 Julio Urena's NPI number?

The NPI number for Julio Urena is 1356302186. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Julio Urena located?

Julio Urena practices at 40 Union Ave, Clifton, NJ 07011. The listed phone number is (973) 574-0010.

What is Julio Urena's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Julio Urena enrolled in Medicare?

Yes. Julio Urena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Julio Urena affiliated with any hospitals?

According to CMS data, Julio Urena is affiliated with St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Julio Urena was last updated on June 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.