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UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NPI 1811907413


NPI Information

NPI: 1811907413
Provider Name: UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC

Doing Business As: UNIVERSITY ANKLE AND FOOT

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
30 BERGEN ST
ADMC 12 1205
NEWARK, NJ
ZIP 07107
Phone: (973) 972-0037
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UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC is a podiatrist in Newark, NJ. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC NPI is 1811907413. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As University Ankle And Foot.

The provider's business location address is:

30 BERGEN ST
ADMC 12 1205
NEWARK, NJ
ZIP 07107-000
Phone: (973) 972-0037
Fax: (973) 972-9355

The provider's authorized official is David Haier .
The authorized official title is Ceo and has the following contact phone number (973) 972-9503.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 7/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15299004MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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