University Physician Associates of New Jersey Inc

Organization Active NPI Obstetrics & Gynecology Physician · Newark, NJ

NPI 1922018514 · NPPES record last updated Jul 15, 2021

Key facts

NPI
1922018514
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
Practice address
140 Bergen St
Newark, NJ 07103-2425
Phone
(973) 972-2700
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

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

Corporate family (same tax ID) 17

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

Practitioners 405

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

View all 405

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20041026000021 NJ Part B Supplier - Clinic/Group Practice 9830003417 Receives reassigned benefits from 49 practitioners
Practice locations: Elizabeth, NJ; Jersey City, NJ; Newark, NJ; Paramus, NJ

National Provider Directory

Tax ID family
University Rehabilitati (18 organizations share this tax ID)

Locations

150 Bergen St
Rm 1640
Newark, NJ 07103

100 Bergen St
Newark, NJ 07103
Phone (973) 819-6210

201 Lyons Ave
Ste L2
Newark, NJ 07112

230 E Ridgewood Ave
Bldg 8
Paramus, NJ 07652
Phone (201) 967-4200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207V00000X Yes

Addresses

Primary practice location

140 Bergen St
Newark, NJ 07103-2425

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
2814749MedicaidNJ

Other names

  • University of OBGYN Associates Doing business as

Other providers in Newark, NJ

All providers in Newark, NJ · Obstetrics & Gynecology Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.