UPA AB LLC (NPI# 1477764306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477764306 |
| Entity Type | Organization |
| Organization Name | UPA AB LLC |
| Other Organization Name | UNIVERSITY SURGICAL ASSOCIATES AB |
| Practice Address |
30 Bergen Street Admc 12 1205 Newark NJ 07107-3000 |
| Practice Telephone | 9739720037 |
| Practice Fax Number | 9739729355 |
| Mailing Telephone | 9739720037 |
| Mailing Fax Number | 9739729355 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | SIMI BAKSHI (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9739726713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| University Surgical Associates AB | Doing Business As Name - Organization |
| Street Address |
30 BERGEN STREET ADMC 12 1205 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07107-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720098320 | University Physician Associates of New Jersey Inc | Ophthalmology | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2006-08-08 |
| 1760683213 | Upa Np LLC | Anesthesiology | 30 Bergen Street, Admc 121205, Newark, NJ 07107-3000 | 2007-05-31 |
| 1043411598 | Upa Np LLC | Nuclear Medicine | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2007-05-31 |
| 1952502403 | Upa Np LLC | Psychiatry & Neurology | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2007-05-31 |
| 1861693319 | Upa-np LLC | Obstetrics & Gynecology | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2007-05-31 |
| 1770784225 | Upa Np LLC | Podiatrist | 30 Bergen Street, Admc 121205, Newark, NJ 07107-3000 | 2007-05-31 |
| 1831390871 | Upa Np LLC | Physical Medicine & Rehabilitation | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2007-05-29 |
| 1346441375 | Upa Np LLC | Pathology | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2007-05-29 |
| 1194926139 | Upa Np LLC | Orthopaedic Surgery | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2007-05-29 |
| 1598966533 | Upa Np LLC | Neurological Surgery | 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 | 2007-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
| 1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
| 1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
| 1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
| 1053743997 | Center for Wound Science and Healing | General Acute Care Hospital | 495 North 13th Street, 2nd Floor, Newark, NJ 07107 | 2013-08-02 |
| 1750620944 | Jeevan M Mathew | Physical Therapist | 500 0range Street, Suite 2, Newark, NJ 07107 | 2013-02-07 |
| 1982967386 | D & M Quality of Life Services, LLP | In Home Supportive Care | 285 Roseville Avenue, Suite 118, Newark, NJ 07107 | 2012-06-20 |
| 1710121496 | Paul Hsu | Pharmacist | 421 Bloomfield Ave, Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1821269630 | Chandra Gupta | Pediatrics | 156 Roseville Avenue, Newark, NJ 07107 | 2008-03-19 |
| Find all providers in zip 07107 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639143514 | Jeffry Zern | Surgery | 4735 Ogletown-stanton Road, Suite 1204, Newark, DE 19713 | 2006-02-15 |
| 1396027991 | Sandra P Medinilla | Surgery | 4735 Ogletown Stanton Road, Map 2, Suite 3301, Newark, DE 19713-0000 | 2011-09-09 |
| 1750672614 | Wei Wei Zhang | Surgery | 150 Bergen St, Newark, NJ 07103 | 2011-04-27 |
| 1538489687 | Marcin Andrew Jankowski | Surgery | 4735 Ogletown Stanton Rd Ste 3301, Newark, DE 19713-7021 | 2010-06-10 |
| 1184948861 | Anastasia Kunac | Surgery | 150 Bergen St, University Hospital Division of Trauma, Newark, NJ 07103-2496 | 2010-03-24 |
| 1225294507 | Stephanie Lynn Bonne | Surgery | 185 S Orange Ave, Msb-g584, Newark, NJ 07103-2757 | 2008-08-05 |
| 1427123629 | Anne Mosenthal | Surgery | 150 Bergen St, Trauma and Surgical Critical Care, Newark, NJ 07103-2496 | 2006-11-22 |
| 1205905031 | Ziad C. Sifri | Surgery | 150 Bergen St, Er and Trauma Unit, Newark, NJ 07103-2496 | 2006-11-07 |
| 1639197874 | David H. Livingston | Surgery | 90 Bergen St, Doc 7100, Newark, NJ 07103-2425 | 2006-07-17 |
| 1952336604 | Michael Rhodes | Surgery | 4735 Ogletown Stanton Rd, Medical Arts Pavilion 2, Suite 3301, Newark, DE 19713-2072 | 2006-07-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.