NPIMap

Organization Active NPI

University Hospital

  • Community/Retail Pharmacy
  • Newark, NJ
National Provider Identifier
1306596390
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
UNIVERSITY HOSPITAL
Practice address
140 Bergen St Ste B1650
Newark, NJ 07103-2425
Phone
(888) 716-0680
Fax
(973) 972-1989
NPI assigned
Mar 24, 2022
Last updated
Jul 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
John Gary Huck
Title
Chief Financial Officer
Phone
(973) 972-0882

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

140 Bergen St Ste B1650
Newark, NJ 07103-2425

Mailing address

140 Bergen St Ste B1650
Newark, NJ 07103-2425
Phone (888) 716-0680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230726000788 NJ Part B Supplier - Pharmacy 5294636874 Practice locations: Newark, NJ
O20231207000404 NJ DME Supplier - Pharmacy 5294636874 Practice locations: Newark, NJ

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
University Hospital140 Bergen St, Newark, NJ 07103-2425(888) 716-0680 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Insulin Infusion Pumps and/or Supplies|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jul 1, 2021

National Provider Directory

National Provider Directory
Tax ID family
Universty of Meddent a26 organizations share this tax ID, including this one
Part of
Universty of Meddent a

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

140 Bergen St
#F1776
Newark, NJ 07103
Phone (973) 972-3282

140 Bergen St
Ste B1650
Newark, NJ 07103
Phone (888) 716-0680

150 Bergen St
#246
Newark, NJ 07103
Phone (973) 972-4112

150 Bergen St
#C320
Newark, NJ 07103
Phone (973) 972-4112

30 Bergen St
#1323
Newark, NJ 07107
Phone (973) 972-8767

388 Market St
Newark, NJ 07105

90 Bergen St
Ofc Ctr
Newark, NJ 07103
Phone (973) 972-2500

Practitioners & affiliated clinicians

Practitioners 169

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.

View all 169

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1306596390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BERGEN ST STE B1650",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "888-716-0680",
            "fax_number": "973-972-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BERGEN ST STE B1650",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "888-716-0680",
            "fax_number": "973-972-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY HOSPITAL",
        "enumeration_date": "2022-03-24",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "HUCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "973-972-0882"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.