University Physician Associates of New Jersey Inc

Organization Active NPI Podiatrist · Newark, NJ

NPI 1811907413 · NPPES record last updated Jul 15, 2021

Key facts

NPI
1811907413
Entity type
Organization (NPI type 2)
Primary specialty
Podiatrist 213E00000X
Legal business name
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
Practice address
30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000
Phone
(973) 972-0037
Fax
(973) 972-9355
NPI assigned
Aug 8, 2006
Organization subpart
No

Authorized official

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist
Group: 193400000X SINGLE SPECIALTY GROUP
213E00000X Yes

Addresses

Primary practice location

30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
5299004MedicaidNJ

Other names

  • University Ankle and Foot Doing business as

Other providers in Newark, NJ

All providers in Newark, NJ · Podiatrist in New Jersey

Sources for this page

Verify at the official NPI Registry.