University Hospital

Organization Active NPI Certified Registered Nurse Anesthetist · Newark, NJ

NPI 1609045277 · NPPES record last updated Mar 28, 2024

Key facts

NPI
1609045277
Entity type
Organization (NPI type 2)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
Legal business name
UNIVERSITY HOSPITAL
Practice address
150 Bergen Street
Department of Anesthesiology
Newark, NJ 07103-2496
Phone
(973) 972-7867
Fax
(973) 972-2357
NPI assigned
Feb 27, 2008
Organization subpart
No

Authorized official

Name
Mr. John Gary Huck
Title
Cfo
Phone
(973) 972-0882

Other NPIs with the same Medicare PAC ID 7

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

Corporate family (same tax ID) 25

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

Practitioners 110

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 110

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080506000358 NJ Part B Supplier - Hospital Department(S) 5294636874 Receives reassigned benefits from 45 practitioners
Practice locations: Newark, NJ

National Provider Directory

Tax ID family
University of Medicine and Dentistry of NJ (26 organizations share this tax ID)

Locations

30 Bergen St
#1327
Newark, NJ 07107

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist
Group: 193400000X SINGLE SPECIALTY GROUP
367500000X Yes

Addresses

Primary practice location

150 Bergen Street
Department of Anesthesiology
Newark, NJ 07103-2496

Mailing address

150 Bergen St
Newark, NJ 07103-2496
Phone (973) 972-0882

Other providers in Newark, NJ

All providers in Newark, NJ · Certified Registered Nurse Anesthetist in New Jersey

Sources for this page

Verify at the official NPI Registry.