University Physician Associates of New Jersey Inc
Organization Active NPI Ophthalmology Physician · Newark, NJ
NPI 1720098320 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1720098320
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
- Practice address
- 90 Bergen St
Newark, NJ 07103-2425 - Phone
- (973) 972-2020
- NPI assigned
- Aug 8, 2006
- Organization subpart
- No
Authorized official
- Name
- David Haier
- Title
- Ceo
- Phone
- (973) 972-9503
Other NPIs with the same Medicare PAC ID 15
Practitioners 381
-
David SC Chu, MD
-
Donald A Greenfield, M.D.
-
Suqin Guo, MD
-
Miriam Habiel, M.D.
-
Prashanth G Iyer, M.D.
-
Albert S Khouri, MD
-
Paul D. Langer, M.D.
-
Marco Attilio Zarbin, MD, PHD
-
Daniel B Jones, M.D.
-
Neelakshi Bhagat, MD
-
Peter S. Hersh, M.D.
-
Ronald Rescigno, M.D.
-
Monique S. Roy, M.D.
-
Rudolph Steven Wagner, M.D.
-
Ahmed Abdelmonem, PA-C
-
Mark Adams, MD
-
Pankaj K Agarwalla, M.D.
-
Ahmed Ahmed, DO
-
Irfan Haroon Ahmed, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040318000140 | NJ | Part B Supplier - Clinic/Group Practice | 9830003417 |
Receives reassigned benefits from 17 practitioners Practice locations: Newark, NJ |
National Provider Directory
Locations
90 Bergen St
Ofc CTR6100
Newark, NJ 07103
90 Bergen St
Ste Doc
Newark, NJ 07103
90 Bergen St
#4500
Newark, NJ 07103
Phone (973) 972-2500
65 Bergen St
Newark, NJ 07107
Phone (973) 972-0186
30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
90 Bergen St
Newark, NJ 07103-2425
Mailing address
30 Bergen Street
Admc 12 1205
Newark, NJ 07107-3000
Phone (973) 972-0037
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2814757 | Medicaid | NJ |
Other names
- University Ophthalmology Associates
Other providers in Newark, NJ
- University Physician Associates of New Jersey Inc
- University Physician Associates of New Jersey Inc
- University Physician Associates of New Jersey Inc
- University Physician Associates of New Jersey Inc
- University Physician Associates of New Jersey Inc
- University Physician Associates of New Jersey Inc
- University Physician Associates of New Jersey Inc
- University Physician Associates of New Jersey Inc
- University Physician Associates of New Jersey Inc
- University Physician Associates of New Jersey Inc
All providers in Newark, NJ · Ophthalmology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.