UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC (NPI# 1073523676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073523676 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC |
| Other Organization Name | UNIVERSITY NEURO-OPHTHALMOLOGY ASSOCIATES |
| Practice Address |
30 Bergen St Admc 121205 Newark NJ 07107-3000 |
| Practice Telephone | 9739720037 |
| Practice Fax Number | 9739729355 |
| Mailing Telephone | 9739720037 |
| Mailing Fax Number | 9739729355 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | SIMI BAKSHI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9739726713 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3434303 | 05 |
| Other Name | Type Code |
|---|---|
| University Neuro-Ophthalmology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720098320 | University Physician Associates of New Jersey Inc | Ophthalmology | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
| 1902816507 | University Physician Associates of New Jersey Inc | Psychiatry & Neurology | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
| 1811907413 | University Physician Associates of New Jersey Inc | Podiatrist | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
| 1639189236 | University Physician Associates of New Jersey Inc | Emergency Medicine | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
| 1760492367 | University Physician Associates of New Jersey Inc | Allergy & Immunology | 140 Bergen St, Newark, NJ 07103 | 2006-08-08 |
| 1679583272 | University Physician Associates of New Jersey Inc | Psychiatry & Neurology | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
| 1922018514 | University Physician Associates of New Jersey Inc | Obstetrics & Gynecology | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
| 1831109420 | University Physician Associates of New Jersey Inc | Anesthesiology | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
| 1164432761 | University Physician Associates of New Jersey Inc | Orthopaedic Surgery | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
| 1871503474 | University Physician Associates of New Jersey Inc | Pathology | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC | 30 Bergen St Ste 1, Newark, NJ 07107-3000 |
| Street Address |
30 BERGEN ST ADMC 121205 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07107-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235119686 | Susan V Garstang | Physical Medicine & Rehabilitation | 30 Bergen St, Admc 101, Newark, NJ 07107-3000 | 2006-01-20 |
| 1699225227 | University Physician Associates of New Jersey, Inc | Otolaryngology | 30 Bergen St, Admc 1205, Newark, NJ 07107-3000 | 2016-10-06 |
| 1083068217 | Ariel Patrice Sena | Student in an Organized Health Care Education/Training Program | 30 Bergen St, Admc 11 - Room 110, Newark, NJ 07107-3000 | 2016-04-13 |
| 1346694577 | Helena Gvili | Student in an Organized Health Care Education/Training Program | 30 Bergen St, Admc11 Rm 1110, Newark, NJ 07107-3000 | 2016-04-13 |
| 1124413265 | Tiffany Chan | Student in an Organized Health Care Education/Training Program | 30 Bergen St, Emergency Medicine, Admc-11, Rm 1110, Newark, NJ 07107-3000 | 2015-04-06 |
| 1801152939 | Subhanir Sunil Chitnis | Emergency Medicine | 30 Bergen St, Admc 11, Room 1110, Newark, NJ 07107-3000 | 2012-04-03 |
| 1659647873 | Chidinma Dawn Kabba | Emergency Medicine | 30 Bergen St, Admc 11 Room 1110, Newark, NJ 07107-3000 | 2012-04-02 |
| 1407122328 | Joseph Alan Rogers | Student in an Organized Health Care Education/Training Program | 30 Bergen St, Admc 11 Room 1110, Newark, NJ 07107-3000 | 2012-03-26 |
| 1477842631 | Suzanne A Katsetos | Emergency Medicine | 30 Bergen St, Admc 11, Rm 1110, Newark, NJ 07107-3000 | 2011-03-28 |
| 1669603387 | Tobechukwu Clouden | Psychiatry & Neurology | 30 Bergen St, Newark, NJ 07107-3000 | 2009-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
| 1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
| 1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
| 1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
| 1053743997 | Center for Wound Science and Healing | General Acute Care Hospital | 495 North 13th Street, 2nd Floor, Newark, NJ 07107 | 2013-08-02 |
| 1750620944 | Jeevan M Mathew | Physical Therapist | 500 0range Street, Suite 2, Newark, NJ 07107 | 2013-02-07 |
| 1982967386 | D & M Quality of Life Services, LLP | In Home Supportive Care | 285 Roseville Avenue, Suite 118, Newark, NJ 07107 | 2012-06-20 |
| 1710121496 | Paul Hsu | Pharmacist | 421 Bloomfield Ave, Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1821269630 | Chandra Gupta | Pediatrics | 156 Roseville Avenue, Newark, NJ 07107 | 2008-03-19 |
| Find all providers in zip 07107 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356480503 | Thomas W Materna | Ophthalmology | 20 Ferry St, Newark, NJ 07105-1420 | 2007-02-05 |
| 1891834297 | Center for Sight, Inc | Ophthalmology | 1717 W Main St., Suite 100, Newark, OH 43055-3681 | 2007-02-05 |
| 1720098320 | University Physician Associates of New Jersey Inc | Ophthalmology | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
| 1588687743 | Shahin Shahinfar | Ophthalmology | 1651 West Main Street, Newark, OH 43055-1345 | 2006-07-26 |
| 1487676284 | Frank R Owczarek | Ophthalmology | 4102 Ogletown-stanton Road, Suite 1, Newark, DE 19713-4169 | 2006-07-24 |
| 1003835802 | Ronald Rescigno | Ophthalmology | 90 Bergen Street, Doc 6100, Newark, NJ 07103 | 2006-07-19 |
| 1881636173 | Erwin D Suh | Ophthalmology | 94a Omega Dr, Newark, DE 19713-2066 | 2006-06-12 |
| 1861499303 | Neil Scott Kalin | Ophthalmology | 314 E Main St, Newark, DE 19711-7128 | 2005-06-30 |
| 1003812454 | Mary Susan Napoleon | Ophthalmology | 1210 Driving Park Ave, Newark, NY 14513-1057 | 2005-06-21 |
| 1760485734 | Elliot Davidoff | Ophthalmology | 1371 W Main St, Newark, OH 43055-3681 | 2005-05-24 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.