UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC (NPI# 1760492367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760492367 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC |
| Other Organization Name | UNIVERSITY MEDICAL ASSOCIATES |
| Practice Address |
140 Bergen St Newark NJ 07103 |
| Mailing Address |
30 Bergen Street Admc 12 1205 Newark NJ 07107-3000 |
| Practice Telephone | 9739729000 |
| Mailing Telephone | 9739720037 |
| Mailing Fax Number | 9739729355 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | DAVID HAIER (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9739729503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2814722 | 05 |
| Other Name | Type Code |
|---|---|
| University Medical Associates | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30 Bergen Street, Admc 12 1205, Newark, NJ 071073000 | 9739720037 | 9739729355 |
| 90 Bergen St, Newark, NJ 071032425 | 9739722500 |
| 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 |
| 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 |
| 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 |
140 BERGEN ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891721668 | Bernadette Marion Cracchiolo | Obstetrics & Gynecology | 140 Bergen St, Acc Level C, Newark, NJ 07103-2425 | 2006-06-24 |
| 1871190140 | University Hospital | Podiatrist | 140 Bergen St, Newark, NJ 07103-2425 | 2020-10-08 |
| 1972159234 | University Ob/gyn Associates (om) | Obstetrics & Gynecology | 140 Bergen St, Newark, NJ 07103-2425 | 2019-08-13 |
| 1578119012 | Naji Madi | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2019-08-12 |
| 1265992416 | Mary Elias | Nurse Practitioner | 140 Bergen St, Newark, NJ 07103-2425 | 2019-03-22 |
| 1275092124 | Andrew Reid Leggett | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2019-03-19 |
| 1023576238 | Anh Nguyen | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2019-03-06 |
| 1699201145 | John Cece | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Ambulatory Care Center E1620, Newark, NJ 07103-2425 | 2017-05-03 |
| 1932634250 | Di Bai | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2017-04-24 |
| 1568995009 | Chrystal Yin Chang | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Ambulatory Care Center G1680, Newark, NJ 07103-2425 | 2017-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554532 | Rwjbh Associates 2, LLC | Internal Medicine | 155 Jefferson St # Ll, Newark, NJ 07105-6906 | 2020-03-25 |
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1538709837 | Saloojas Inc. | Internal Medicine | 5763 Stevenson Blvd Ste A, Newark, CA 94560-5301 | 2020-01-14 |
| 1528600715 | Roseville Health Center Inc. | Internal Medicine | 500 Orange St Fl 2, Newark, NJ 07107-2944 | 2019-10-09 |
| 1457912388 | Vanessa Browne | Internal Medicine | 185 S Orange Ave Rm I-506, Newark, NJ 07103-2757 | 2019-06-21 |
| 1477024867 | Hazera Khatun | Internal Medicine | 111 Central Ave Dept Of, Newark, NJ 07102-1909 | 2018-12-10 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1720504905 | Tri-state Physicians Inc | Internal Medicine | 266 South College Ave, Newark, DE 19711 | 2017-08-18 |
| 1649700253 | Cheryl Emilia Monteiro | Internal Medicine | 183 S Orange Ave # F1416, Newark, NJ 07103-2757 | 2017-06-15 |
| 1871029199 | Saira Zafar | Internal Medicine | 90 Bergen St # 4700, Newark, NJ 07103-2425 | 2017-05-05 |
| 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.