University of Medicine & Dentistry of New Jersey

Primary specialty

Women's HospitalTaxonomy code 282NW0100X

License

26NJ00156800 Issued in NJ

Legal business name

UNIVERSITY OF MEDICINE & DENTISTRY OF NEW JERSEY

Practice address

150 Bergen St
G102 FXB Clinic
Newark, NJ 07103-2496

Phone

(973) 972-9043

NPI assigned

Jul 3, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen A Hendricks, NP C

Title

Womens Health Nurse Practitioner

Phone

(973) 972-9043

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1407019185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BERGEN ST",
            "address_2": "G102 FXB CLINIC",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032496",
            "telephone_number": "973-972-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BERGEN ST",
            "address_2": "G102 FXB CLINIC",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032496",
            "telephone_number": "973-972-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MEDICINE & DENTISTRY OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "WOMENS HEALTH NURSE PRACTITIONER",
        "authorized_official_telephone_number": "973-972-9043",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "26NJ00156800",
            "primary": false
        },
        {
            "code": "282NW0100X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Women",
            "state": "NJ",
            "license": "26NJ00156800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University Hospital
• University Hospital
• University Medical Associates (Om)
• University Neurosurgery Associates (Om)
• University OB/GYN Associates (Om)
• University of Medicine & Dentistry of New Jersey
• University of Medicine and Densitry
• University of Medicine and Dentistry - New Jersey
• University of Medicine and Dentistry of New Jersey
• University Orthopaedic Associates (Om)

• All providers in Newark, NJ
• Women's Hospital in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.