| University Physician Associates Of New Jersey Inc | |
|
90 Bergen St Newark NJ 07103-2425 | |
| (973) 972-2100 | |
| Not Available |
| Full Name | University Physician Associates Of New Jersey Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 90 Bergen St, Newark, New Jersey |
| Authorized Official Name and Position | David Haier (CEO) |
| Authorized Official Contact | 9739729503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Physician Associates Of New Jersey Inc 30 Bergen Street Admc 12 1205 Newark NJ 07107-3000 Ph: (973) 972-0037 | University Physician Associates Of New Jersey Inc 90 Bergen St Newark NJ 07103-2425 Ph: (973) 972-2100 |
| NPI Number | 1679583272 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 07/15/2021 |
| Certification Date | 07/15/2021 |
| Medicare PECOS PAC ID | 9830003417 |
|---|---|
| Medicare Enrollment ID | O20050119000443 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679583272 | NPI | - | NPPES |
| 2814773 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Yan Li |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619921442 PECOS PAC ID: 5395659569 Enrollment ID: I20031113000261 |
| Provider Name | George Kipel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548216690 PECOS PAC ID: 2163409632 Enrollment ID: I20040701001463 |
| Provider Name | Mimi N Ton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033178355 PECOS PAC ID: 3678534534 Enrollment ID: I20060911000506 |
| Provider Name | Onajovwe O Fofah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720187883 PECOS PAC ID: 6901875111 Enrollment ID: I20070919000083 |
| Provider Name | Jon F Sicat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972552230 PECOS PAC ID: 2062598352 Enrollment ID: I20080327000086 |
| Provider Name | Sumon Das |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780831867 PECOS PAC ID: 1951430180 Enrollment ID: I20100527000099 |
| Provider Name | Iona Monteiro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699846527 PECOS PAC ID: 5991990343 Enrollment ID: I20101110001123 |
| Provider Name | Robert L Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134149230 PECOS PAC ID: 4183819535 Enrollment ID: I20101110001212 |
| Provider Name | Ling-yu Shih |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831260769 PECOS PAC ID: 5092902551 Enrollment ID: I20101209000379 |
| Provider Name | Beth A Pletcher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639243090 PECOS PAC ID: 0941468276 Enrollment ID: I20120307000185 |
| Provider Name | Arry Dieudonne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649349333 PECOS PAC ID: 1850550930 Enrollment ID: I20120308000692 |
| Provider Name | Dominga S Padilla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033312541 PECOS PAC ID: 7911152525 Enrollment ID: I20130306000106 |
| Provider Name | Sophia Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083846901 PECOS PAC ID: 8820237209 Enrollment ID: I20130614000334 |
| Provider Name | Janice Prontnicki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346216819 PECOS PAC ID: 7618109414 Enrollment ID: I20140409001969 |
| Provider Name | Jose R Bustillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679972947 PECOS PAC ID: 3971724733 Enrollment ID: I20141020000879 |
| Provider Name | Adin Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073888491 PECOS PAC ID: 3476866757 Enrollment ID: I20150715001398 |
| Provider Name | Alexander Feldman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023381662 PECOS PAC ID: 9436463361 Enrollment ID: I20150805007371 |
| Provider Name | Pamela Mukhatiyar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336301977 PECOS PAC ID: 1153589718 Enrollment ID: I20150904000753 |
| Provider Name | Harpreet Kaur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609923432 PECOS PAC ID: 0143259689 Enrollment ID: I20160215000146 |
| Provider Name | Danitza M Velazquez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225452964 PECOS PAC ID: 0648549139 Enrollment ID: I20170626002497 |
| Provider Name | Svetlana L Sabel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124307616 PECOS PAC ID: 4284904806 Enrollment ID: I20170714000207 |
| Provider Name | Pearl Akwaja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811430721 PECOS PAC ID: 4183996408 Enrollment ID: I20170822002381 |
| Provider Name | Sari D Bentsianov |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487941779 PECOS PAC ID: 6406151265 Enrollment ID: I20170831000470 |
| Provider Name | Khalil W Savary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699061416 PECOS PAC ID: 9537433693 Enrollment ID: I20170928000742 |
| Provider Name | Adaora G Madubuko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922397025 PECOS PAC ID: 3274817952 Enrollment ID: I20171002003436 |
| Provider Name | Mario C Colletti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043449671 PECOS PAC ID: 3678723012 Enrollment ID: I20171003006841 |
| Provider Name | Claudia Alcindor-sparman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831154780 PECOS PAC ID: 8729273800 Enrollment ID: I20180104001120 |
| Provider Name | Aditi Khokhar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982917902 PECOS PAC ID: 4587957345 Enrollment ID: I20180320001520 |
| Provider Name | Jackie Lui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912326810 PECOS PAC ID: 5597029199 Enrollment ID: I20180508000260 |
| Provider Name | Sarika Kalantre |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326277799 PECOS PAC ID: 2668526914 Enrollment ID: I20181008003245 |
| Provider Name | Shirel A Stetson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487008033 PECOS PAC ID: 3870821408 Enrollment ID: I20190821001129 |
| Provider Name | Sunita Goil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578651535 PECOS PAC ID: 5294167979 Enrollment ID: I20191119000209 |
| Provider Name | Aqsa Inkisar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205280203 PECOS PAC ID: 9335578517 Enrollment ID: I20200409002044 |
| Provider Name | Shruti Banugaria |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922453620 PECOS PAC ID: 5395175491 Enrollment ID: I20200413002419 |
| Provider Name | Sree Chirumamilla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720088768 PECOS PAC ID: 9234027293 Enrollment ID: I20200601000634 |
| Provider Name | Chanel V Thompson-rogers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306209408 PECOS PAC ID: 3678995115 Enrollment ID: I20200630000030 |
| Provider Name | Angela R Verardo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164783593 PECOS PAC ID: 5991016487 Enrollment ID: I20201105001819 |
| Provider Name | Joseph V Schwab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013081280 PECOS PAC ID: 7315359452 Enrollment ID: I20201215001816 |
| Provider Name | Viviana Ingrid Claure |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225438963 PECOS PAC ID: 8224437926 Enrollment ID: I20210601000337 |
| Provider Name | Cassandra Louis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316348766 PECOS PAC ID: 0345598090 Enrollment ID: I20210702002082 |
| Provider Name | Carlos Medina |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730227125 PECOS PAC ID: 0547362949 Enrollment ID: I20211019001033 |
| Provider Name | Rachel Sharret |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891086922 PECOS PAC ID: 4981826930 Enrollment ID: I20211101002764 |
| Provider Name | Naheed Abedin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922055870 PECOS PAC ID: 2769667948 Enrollment ID: I20220113000342 |
| Provider Name | Deepti Purohit |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285993766 PECOS PAC ID: 3274920814 Enrollment ID: I20220428001196 |
| Provider Name | Badreldin Abdelrahman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538428677 PECOS PAC ID: 9032429394 Enrollment ID: I20220601002925 |
| Provider Name | Elizabeth Ann Jehle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124553862 PECOS PAC ID: 2264701838 Enrollment ID: I20220804000002 |
| Provider Name | Poliana Paula Da Silva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366930372 PECOS PAC ID: 1355724162 Enrollment ID: I20220811001270 |
| Provider Name | Krystin August Engelhardt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518229095 PECOS PAC ID: 0446477707 Enrollment ID: I20220907000494 |
| Provider Name | Shahab Abdessalam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174697502 PECOS PAC ID: 5395807242 Enrollment ID: I20220928001250 |
| Provider Name | Payal Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104386804 PECOS PAC ID: 3870979768 Enrollment ID: I20220929002463 |
| Provider Name | Bhavik Hasmukhbhai Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174918056 PECOS PAC ID: 7719237577 Enrollment ID: I20221202000543 |
| Provider Name | Lauren Rothe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013478809 PECOS PAC ID: 7416327465 Enrollment ID: I20230109000422 |
| Provider Name | Catherine B Karimov |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1952424079 PECOS PAC ID: 9739225434 Enrollment ID: I20230417000763 |
| Provider Name | Erika Yesenia Pineda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003336983 PECOS PAC ID: 2466811831 Enrollment ID: I20230703000621 |
| Provider Name | Steven Yung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457518128 PECOS PAC ID: 7911192786 Enrollment ID: I20230725002752 |
| Provider Name | Monica Koncicki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598059735 PECOS PAC ID: 7618246372 Enrollment ID: I20230802003828 |
| Provider Name | Tanya Masand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457889594 PECOS PAC ID: 5395161681 Enrollment ID: I20230918002914 |
| Provider Name | Antoine Alexandra Lespinasse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114912052 PECOS PAC ID: 1355334301 Enrollment ID: I20231024003144 |
| Provider Name | Peyman Bizargity |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1568728806 PECOS PAC ID: 9436497500 Enrollment ID: I20240106000029 |
| Provider Name | Kathryn Whitehill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841827458 PECOS PAC ID: 4981056769 Enrollment ID: I20240117002061 |
| Provider Name | Mehek Shaikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215564943 PECOS PAC ID: 4284086570 Enrollment ID: I20240123001879 |
| Provider Name | Areej Qadri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730588161 PECOS PAC ID: 8729520135 Enrollment ID: I20240612002754 |
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