UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC (NPI# 1316957913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316957913 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC |
| Other Organization Name | UNIVERSITY RADIOLOGY 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 | 2014-05-07 |
| Authorized Official Name | SIMI BAKSHI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9739726713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0205X |
Radiology Specialization: Radiological Physics |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2814781 | 05 |
| Other Name | Type Code |
|---|---|
| University Radiology 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 |
| 1073523676 | University Physician Associates of New Jersey Inc | Ophthalmology | 30 Bergen St, Admc 121205, 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740706175 | Delaware Radiology Associates Pa | Radiology | 6 Omega Dr Bldg L, Newark, DE 19713-2056 | 2017-08-17 |
| 1912133109 | Oluwole Ayodeji Tairu | Radiology | 150 Bergen St Level C, Newark, NJ 07103-2496 | 2009-06-02 |
| 1548435290 | Denis Primakov | Radiology | 4755 Ogletown Stanton Rd Ste 1752, Newark, DE 19718-2200 | 2008-04-24 |
| 1518163773 | Samson Wong | Radiology | 4755 Ogletown Stanton Rd Rm 1752, Newark, DE 19718-6402 | 2007-06-25 |
| 1386864635 | Open Mri & Imaging of Newark | Radiology | 243 Chestnut Street, Newark, NJ 07105-6501 | 2007-04-27 |
| 1194853952 | Anton Grant Delport | Radiology | 4755 Ogletown-stanton, Roadroom 2a00-christiana Hospital, Newark, DE 19718-0001 | 2007-03-01 |
| 1316028665 | Edward A Del Grosso | Radiology | 1320 W. Main Street, Newark, OH 43055-1822 | 2006-10-17 |
| 1720172885 | Delaware Womens Imaging LLC | Radiology | J-24 Omega Drive, Newark, DE 19713 | 2006-10-03 |
| 1659484467 | An Open Mri Imaging of Newark, LLC | Radiology | 243 Chestnut St., Newark, NJ 07105-6501 | 2006-08-16 |
| 1083645394 | Helen Sax | Radiology | J24 Omega Drive, Newark, DE 19713-2060 | 2006-07-05 |
| 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.