Organization Active NPI

Umdnj University Hospital

  • General Acute Care Hospital
  • Newark, NJ
National Provider Identifier
1205047651
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
25MP00003300 Issued in NJ
Legal business name
UMDNJ UNIVERSITY HOSPITAL
Practice address
90 Bergen St
Acc Suite D1610
Newark, NJ 07103-2425
Phone
(973) 972-2153
Fax
(973) 972-5296
NPI assigned
May 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Susan Galaini Merritt, PA-CNPI 1851648455
Title
Physician Assistant
Phone
(973) 972-2153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 25MP00003300 NJ Primary

Addresses

Primary practice location

90 Bergen St
Acc Suite D1610
Newark, NJ 07103-2425

Mailing address

Doctor's Office Center, Suite 1200
90 Bergen St.
Newark, NJ 07103
Phone (973) 972-2153

National Provider Directory

National Provider Directory

Locations

90 Bergen St
Ste D1610
Newark, NJ 07103
Phone (973) 972-2153

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205047651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DOCTOR'S OFFICE CENTER, SUITE 1200",
            "address_2": "90 BERGEN ST.",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-972-2153",
            "fax_number": "973-972-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST",
            "address_2": "ACC SUITE D1610",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-2153",
            "fax_number": "973-972-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMDNJ UNIVERSITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "GALAINI",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "973-972-2153",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "25MP00003300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.