UNIVERSITY OB/GYN ASSOCIATES (OM) (NPI# 1972159234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972159234 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OB/GYN ASSOCIATES (OM) |
| Practice Address |
140 Bergen St Newark NJ 07103-2425 |
| Mailing Address |
30 Bergen St # 1205 Newark NJ 07107-3000 |
| Practice Telephone | 9739722700 |
| Mailing Telephone | 9739725004 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | DAVID HAIER (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9739725004 |
| Is Organization Subpart | Y |
| Parent Organization Name | UPA-OM, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UPA-SPECIAL, L.L.C. | Former Legal Business Name - Organization |
| Street Address |
140 BERGEN ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891721668 | Bernadette Marion Cracchiolo | Obstetrics & Gynecology | 140 Bergen St, Acc Level C, Newark, NJ 07103-2425 | 2006-06-24 |
| 1871190140 | University Hospital | Podiatrist | 140 Bergen St, Newark, NJ 07103-2425 | 2020-10-08 |
| 1578119012 | Naji Madi | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2019-08-12 |
| 1265992416 | Mary Elias | Nurse Practitioner | 140 Bergen St, Newark, NJ 07103-2425 | 2019-03-22 |
| 1275092124 | Andrew Reid Leggett | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2019-03-19 |
| 1023576238 | Anh Nguyen | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2019-03-06 |
| 1699201145 | John Cece | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Ambulatory Care Center E1620, Newark, NJ 07103-2425 | 2017-05-03 |
| 1932634250 | Di Bai | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2017-04-24 |
| 1568995009 | Chrystal Yin Chang | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Ambulatory Care Center G1680, Newark, NJ 07103-2425 | 2017-04-11 |
| 1356791321 | Kari-ann Dixon | Nurse Practitioner | 140 Bergen St, Newark, NJ 07103-2425 | 2016-06-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821383555 | Michelle Marie Pacis | Obstetrics & Gynecology | 4735 Ogletown Stanton Rd Ste 2103, Newark, DE 19713-8000 | 2011-06-10 |
| 1679803704 | Women First, LLC | Obstetrics & Gynecology | 875 Aaa Blvd Ste B, Newark, DE 19713-3624 | 2010-01-13 |
| 1568669075 | Stephanie Lynne Marshall | Obstetrics & Gynecology | 185 S Orange Ave # 506, Newark, NJ 07103-2757 | 2007-06-28 |
| 1114067527 | Mrinal Koul | Obstetrics & Gynecology | 341 Walnut St, Newark, NJ 07105-2611 | 2007-02-07 |
| 1154476190 | Mark G Cadungog | Obstetrics & Gynecology | 4701 Ogletown Stanton Rd Ste 2335, Newark, DE 19713-7016 | 2007-01-23 |
| 1528124880 | Kelli M Gevas | Obstetrics & Gynecology | 15 Messimer Drive, Newark, OH 43055 | 2006-12-29 |
| 1407912322 | Euk Hyun Kim | Obstetrics & Gynecology | 228 Lafayette St, Newark, NJ 07105 | 2006-12-28 |
| 1659430528 | Luis A Yerovi Sr. | Obstetrics & Gynecology | 91 Congress St, Newark, NJ 07105-1801 | 2006-12-07 |
| 1811065634 | Abdul Wahij Najafi | Obstetrics & Gynecology | 410 Chancellor Ave, Newark, NJ 07112-1030 | 2006-12-01 |
| 1891808861 | Janae M. Davis | Obstetrics & Gynecology | 20 W Locust St, Newark, OH 43055-5520 | 2006-08-16 |
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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.