UNIVERSAL MEDICINE, LLC
NPI 1649648809
Internal Medicine in Edgewater, NJ

Q: What is Universal Medicine, LLC's NPI number?

The NPI number for Universal Medicine, LLC is 1649648809. It was assigned to this organization in the NPPES registry on September 4, 2015.

Q: What is Universal Medicine, LLC's specialty?

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

Active since September 04, 2015CLIA 31D2180372 · Waiver

103 RIVER RD, SUITE 101, EDGEWATER, NJ 07020(201) 308-8995(201) 917-3603 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Universal Medicine, Llc NPPES

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

UNIVERSAL MEDICINE, LLC (NPI 1649648809) is a healthcare organization registered as an internal medicine in Edgewater, New Jersey and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Domenico Rotoli, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1649648809

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameUNIVERSAL MEDICINE, LLC

Location Address103 RIVER RD, SUITE 101Edgewater, NJ 07020-1016

Mailing Address103 River Rd, Suite 101Edgewater, NJ 07020-1016 · (201) 308-8995 · Fax (201) 917-3603

Phone(201) 308-8995

Fax(201) 917-3603

Organization SubpartNo

Authorized OfficialDomenico RotoliChief Medical Officer · (201) 308-8995

Enumeration DateSeptember 4, 2015

Last NPPES UpdateMarch 29, 2024

NPPES CertifiedMarch 29, 2024

✔ NPI 1649648809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

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.

103 RIVER RD, Edgewater, NJ 07020

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Universal Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Universal Medicine, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Domenico Rotoli, DO

Internal Medicine

NPI 1760700215

103 RIVER RD SUITE 101
Edgewater, NJ 07020

(201) 308-8995

✔ PECOS✔ Accepts MedicareSame address

Brian Legg

Clinical Psychologist

NPI 1114399383

125 RIVER RD STE 106
Edgewater, NJ 07020

(201) 606-2592

✔ PECOS✔ Accepts Medicare0.1 mi

Nkechi Fyle, R.D.

Registered Dietitian or Nutrition Professional

NPI 1265569941

27 MADISON AVE STE 50
Paramus, NJ 07652

(551) 265-5281

9.1 mi

John Doerr, M.D.

Diagnostic Radiology

NPI 1194808717

914 CLIFTON AVE
Clifton, NJ 07013

(973) 777-5022

✔ PECOS✔ Accepts Medicare9.8 mi

Sana Naeem, M.D

Psychiatry

NPI 1922533165

2698 COUNTY RD 516 STE E1
Old Bridge, NJ 08857

(848) 254-5893

✔ PECOS✔ Accepts Medicare33 mi

Lilia Vento Valverde, APRN

Nurse Practitioner

NPI 1912581737

3691 CLYDE MORRIS BLVD
Port Orange, FL 32129

(386) 675-4411

✔ PECOS✔ Accepts Medicare897 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2180372

Universal Medicine · Edgewater, NJ

Active · expires Mar 11, 2028

CLIA Number31D2180372

Laboratory TypePhysician Office

Certificate Effective DateMarch 12, 2026

Certificate Expiration DateMarch 11, 2028

Laboratory DirectorDomenico Rotoli

Laboratory Phone(201) 308-8995

Laboratory LocationUniversal Medicine103 River Road, Suite 101, Edgewater, NJ 07020

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Universal Medicine, LLC's NPI number?

The NPI number for Universal Medicine, LLC is 1649648809. It was assigned to this organization in the NPPES registry on September 4, 2015.

Where is Universal Medicine, LLC located?

Universal Medicine, LLC is located at 103 River Rd Suite 101, Edgewater, NJ 07020. The listed phone number is (201) 308-8995.

What is Universal Medicine, LLC's specialty?

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

Is Universal Medicine, LLC enrolled in Medicare?

Yes. Universal Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Universal Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Universal Medicine, LLC, in Clinical Psychologist, Diagnostic Radiology, Internal Medicine, Nurse Practitioner, Psychiatry and 1 other specialty. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Universal Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2180372) is associated with this NPI, valid through March 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Universal Medicine, LLC was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.