UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC (NPI# 1780694380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780694380 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC |
| Other Organization Name | UNIVERSITY NEUROSURGERY ASSOCIATES INC |
| 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 | 2020-08-22 |
| 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 | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 5620902 | 05 |
| Other Name | Type Code |
|---|---|
| University Neurosurgery Associates Inc | Doing Business As Name - Organization |
| 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 |
| 1639189236 | University Physician Associates of New Jersey Inc | Emergency Medicine | 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 |
| 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 |
| Street Address |
30 BERGEN ST ADMC 12 1205 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07107-3000 |
| 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 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316068927 | Chirag D Gandhi | Neurological Surgery | 90 Bergen St Ste 8100, Neurological Institute of New Jersey, Newark, NJ 07103-2425 | 2007-04-02 |
| 1386741577 | Bikash Bose | Neurological Surgery | C 79 Omega Drive, Newark, DE 19713 | 2006-09-20 |
| 1033765383 | University Neurosurgery Associates (om) | Neurological Surgery | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2019-08-13 |
| 1821499344 | John Gillick | Neurological Surgery | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2014-09-16 |
| 1285990804 | Irene Sy Say | Neurological Surgery | 90 Bergen Street, Doctor's Office Center, Newark, NJ 07101-1709 | 2012-04-09 |
| 1386938843 | James C Barrese | Neurological Surgery | 90 Bergen St, 8100, Newark, NJ 07103-2425 | 2011-06-01 |
| 1386965523 | Pankaj K Agarwalla | Neurological Surgery | 90 Bergen St # 8100, Newark, NJ 07103 | 2010-06-22 |
| 1417111360 | Antonios Mammis | Neurological Surgery | 90 Bergen St, Suite 8100, Newark, NJ 07103-2425 | 2008-07-10 |
| 1235392945 | Leif-erik Sheldon Bohman | Neurological Surgery | 774 Christiana Rd, Suite 202, Newark, DE 19713-4236 | 2008-07-03 |
| 1770744872 | Rachid Assina | Neurological Surgery | 90 Bergen St, Suite 8100, Newark, NJ 07103-2425 | 2008-06-20 |
| Find all providers in NEWARK | ||||
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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.