UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY, INC.


Address: 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000
Phone: 9739720037

UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY, INC. (NPI# 1609054220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609054220
Entity Type Organization
Organization Name UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY, INC.
Other Organization Name UNIVERSITY PSYCHOLOGY ASSOCIATES
Practice Address 30 Bergen St
Admc 12 1205
Newark
NJ 07107-3000
Practice Telephone 9739720037
Practice Fax Number 9739729355
Mailing Telephone 9739720037
Mailing Fax Number 9739729355
Enumeration Date 2008-02-06
Last Update Date 2008-02-06
Authorized Official Name SIMI BAKSHI (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 9739726713
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers
Y 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 5313309 05

Other Provider/Organization Names

Other Name Type Code
University Psychology Associates Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932716586 University Physician Associates of New Jersey, Inc. Pediatrics 201 Lyons Ave, Newark, NJ 07112-2027 2020-09-28
1558503797 University Physician Associates of New Jersey, Inc. Radiology 205 S Orange Ave, Newark, NJ 07103-2785 2009-04-02
1457593691 University Physician Associates of New Jersey, Inc. Emergency Medicine 150 Bergen St, Emergency Department, Newark, NJ 07103-2496 2009-04-02

Office Location

Street Address 30 BERGEN ST
ADMC 12 1205
City NEWARK
State NJ
Zip Code 07107-3000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235119686 Susan V Garstang Physical Medicine & Rehabilitation 30 Bergen St, Admc 101, Newark, NJ 07107-3000 2006-01-20
1699225227 University Physician Associates of New Jersey, Inc Otolaryngology 30 Bergen St, Admc 1205, Newark, NJ 07107-3000 2016-10-06
1083068217 Ariel Patrice Sena Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc 11 - Room 110, Newark, NJ 07107-3000 2016-04-13
1346694577 Helena Gvili Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc11 Rm 1110, Newark, NJ 07107-3000 2016-04-13
1124413265 Tiffany Chan Student in an Organized Health Care Education/Training Program 30 Bergen St, Emergency Medicine, Admc-11, Rm 1110, Newark, NJ 07107-3000 2015-04-06
1801152939 Subhanir Sunil Chitnis Emergency Medicine 30 Bergen St, Admc 11, Room 1110, Newark, NJ 07107-3000 2012-04-03
1659647873 Chidinma Dawn Kabba Emergency Medicine 30 Bergen St, Admc 11 Room 1110, Newark, NJ 07107-3000 2012-04-02
1407122328 Joseph Alan Rogers Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc 11 Room 1110, Newark, NJ 07107-3000 2012-03-26
1477842631 Suzanne A Katsetos Emergency Medicine 30 Bergen St, Admc 11, Rm 1110, Newark, NJ 07107-3000 2011-03-28
1669603387 Tobechukwu Clouden Psychiatry & Neurology 30 Bergen St, Newark, NJ 07107-3000 2009-07-29
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841653763 Andrew P Brown IIi Clinical Neuropsychologist 31 Clinton St, Newark, NJ 07102-3729 2016-03-29
1336119346 Glen David Greenberg Clinical Neuropsychologist 774 Christiana Rd Ste 201a, Newark, DE 19713-4221 2006-01-23
1467451401 Christopher Ian Higginson Clinical Neuropsychologist 203 W Main St, Newark, DE 19716-2579 2005-07-20
1881084523 Elysia Benedict Clinical Neuropsychologist 774 Christiana Rd Ste 201a, Newark, DE 19713-4221 2015-02-03
1295139251 Michelle M. Manasseri Psyd LLC Clinical Neuropsychologist 910 S Chapel St, Ste 201, Newark, DE 19713-3467 2014-10-20
1114298791 Michelle Manasseri Clinical Neuropsychologist 910 S Chapel St, Ste 102, Newark, DE 19713-3467 2012-01-13
1407013865 Akshar Medical Services LLC Clinical Neuropsychologist 314 E Main St, Suite # 403, Newark, DE 19711-7128 2008-05-21
1154597680 Michael Ferrari Clinical Neuropsychologist 15 Omega Dr, Bldg K, Newark, DE 19713-2057 2008-05-05
1821209479 Upa Np LLC Clinical Neuropsychologist 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 2007-05-25
1598775199 University Physician Associates of New Jersey Inc Clinical Neuropsychologist 185 S Orange Ave, Newark, NJ 07103-2757 2006-08-08
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Competitor

Search similar providers

City NEWARK
Zip Code 07107

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Dataset Information

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.

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