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# 1639189236) 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) 1639189236
Entity Type Organization
Organization Name UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
Other Organization Name UNIVERSITY SURGICAL 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 2006-08-08
Last Update Date 2014-05-07
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 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
N 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians
N 208200000X Plastic Surgery Allopathic & Osteopathic Physicians
N 208800000X Urology Allopathic & Osteopathic Physicians
N 208C00000X Colon & Rectal Surgery Allopathic & Osteopathic Physicians
N 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians
N 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians
Y 208600000X Surgery Allopathic & Osteopathic Physicians
N 204F00000X Transplant Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 2814714 05

Other Provider/Organization Names

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

Other Provider IDs and Locations

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
1902816507 University Physician Associates of New Jersey Inc Psychiatry & Neurology 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 2006-08-08
1811907413 University Physician Associates of New Jersey Inc Podiatrist 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 2006-08-08
1760492367 University Physician Associates of New Jersey Inc Allergy & Immunology 140 Bergen St, Newark, NJ 07103 2006-08-08
1679583272 University Physician Associates of New Jersey Inc Psychiatry & Neurology 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 2006-08-08
1922018514 University Physician Associates of New Jersey Inc Obstetrics & Gynecology 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 2006-08-08
1831109420 University Physician Associates of New Jersey Inc Anesthesiology 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 2006-08-08
1164432761 University Physician Associates of New Jersey Inc Orthopaedic Surgery 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 2006-08-08
1073523676 University Physician Associates of New Jersey Inc Ophthalmology 30 Bergen St, Admc 121205, Newark, NJ 07107-3000 2006-08-08
1871503474 University Physician Associates of New Jersey Inc Pathology 30 Bergen Street, Admc 12 1205, Newark, NJ 07107-3000 2006-08-08

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC 30 Bergen St Ste 1, Newark, NJ 07107-3000

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 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538663869 Niravkumar M Chauhan Surgery 185 S Orange Ave # Msbf508b, Newark, NJ 07103-2757 2018-03-21
1821449604 Joseph Galloway Surgery 140 Bergen Street Acc-d1610, Newark, NJ 07103 2016-06-23
1962844621 John Daniel Robb Surgery 4755 Ogletown Stanton Road Ste 1e50, Ctr for Heart & Vascular Health Christiana Hospital, Newark, DE 19718-2200 2013-07-23
1992083521 Ioannis Loumiotis Surgery 201 Lyons Ave Ste G5, Newark, NJ 07112-2027 2011-08-01
1336434257 Nicole Goulet Surgery 185 S Orange Ave # Msbg514, Newark, NJ 07103-2757 2011-06-20
1366679946 Adriana I Suarez-ligon Surgery 205 South Orange Avenue, F 1214, Newark, NJ 07103 2009-06-22
1285809475 Jason Evan Davis Surgery 150 Bergen Avenue, Uh Division of Vascular Surgery, Newark, NJ 07103 2008-04-28
1306068788 Melissa Marie Alvarez-downing Surgery 90 Bergen St Fl 7, Newark, NJ 07103-2425 2007-05-03
1447305107 Nikolay Mindadze Surgery 4735 Ogletown Stanton Road, Suite 3301, Medical Arts Pavillion 2, Newark, DE 19713-2067 2007-01-24
1639245350 Howard Reeves Surgery 131 Mcmillen Drive, Newark, OH 43055 2006-11-27
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Competitor

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City NEWARK
Zip Code 07107

Improve Information

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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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