NPIMap

Organization Active NPI

University Physician Associates of New Jersey Inc

Doing business as New Jersey Family Practice Center

  • Family Medicine Physician
  • Newark, NJ
National Provider Identifier
1467462168
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
Doing business as
New Jersey Family Practice Center
Practice address
90 Bergen St
Newark, NJ 07103-2425
Phone
(973) 972-3465
NPI assigned
Aug 8, 2006
Last updated
Jul 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Authorized official

Name
David Haier
Title
Ceo
Phone
(973) 972-9503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

90 Bergen St
Newark, NJ 07103-2425

Mailing address

30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000
Phone (973) 972-0037

Other identifiers 1

IdentifierTypeStateIssuer
5092205MedicaidNJ

Other names 1

  • New Jersey Family Practice Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041025000181 NJ Part B Supplier - Clinic/Group Practice 9830003417 Receives reassigned benefits from 11 practitioners
Practice locations: Paramus, NJ; Newark, NJ

Other NPIs with the same Medicare PAC ID 15

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

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Univ Ophthalmology Asso18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations (25 of 87)

2055 N High St
Ste 330
Denver, CO 80205
Phone (303) 301-9010

1039 Avenue C
Fl 1
Bayonne, NJ 07002

300 Central Ave
Fl G
East Orange, NJ 07018

102 James St
Edison, NJ 08820
Phone (732) 494-4958

50 Union Ave
Fl 2
Irvington, NJ 07111
Phone (862) 339-0005

257 Cornelison Ave
Jersey City, NJ 07302

22 Old Short Hills Rd
Ste 101
Livingston, NJ 07039
Phone (973) 597-9005

94 Old Short Hills Rd
Ste 275
Livingston, NJ 07039

2040 Millburn Ave
Ste 40
Maplewood, NJ 07040

225 Millburn Ave
Millburn, NJ 07041
Phone (973) 218-9400

233 Millburn Ave
Fl 1
Millburn, NJ 07041

195 Little Albany St
New Brunswick, NJ 08901
Phone (732) 235-2465

140 Bergen St
#1680
Newark, NJ 07103
Phone (973) 972-4418

140 Bergen St
#D
Newark, NJ 07103
Phone (973) 972-4071

140 Bergen St
Bldg C
Newark, NJ 07103

140 Bergen St
Bldg F
Newark, NJ 07103

140 Bergen St
Rm 1600
Newark, NJ 07103

140 Bergen St
Rm 1650
Newark, NJ 07103

140 Bergen St
Ste 1700
Newark, NJ 07103

140 Bergen St
Ste 1777
Newark, NJ 07103

150 Bergen St
#239
Newark, NJ 07103

150 Bergen St
#351
Newark, NJ 07103

150 Bergen St
#8C138
Newark, NJ 07103

150 Bergen St
#C162
Newark, NJ 07103

150 Bergen St
#D351
Newark, NJ 07103

Practitioners & affiliated clinicians

Practitioners 382

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 382

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1467462168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BERGEN ST",
            "address_2": "ADMC 12 1205",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073000",
            "telephone_number": "973-972-0037",
            "fax_number": "973-972-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032425",
            "telephone_number": "973-972-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "HAIER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-972-9503"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5092205",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Jersey Family Practice Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Jersey Family Practice Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.