| University Hospital | |
|
140 Bergen Street Dept. Acc Clinics, F-1776 Newark NJ 07103-2425 | |
| (973) 972-3282 | |
| Not Available |
| Full Name | University Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 140 Bergen Street, Newark, New Jersey |
| Authorized Official Name and Position | John Gary Huck (CFO) |
| Authorized Official Contact | 9739720882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Hospital 150 Bergen St Newark NJ 07103-2496 Ph: (973) 972-0882 | University Hospital 140 Bergen Street Dept. Acc Clinics, F-1776 Newark NJ 07103-2425 Ph: (973) 972-3282 |
| NPI Number | 1609178276 |
|---|---|
| Provider Enumeration Date | 12/02/2010 |
| Last Update Date | 03/28/2024 |
| Medicare PECOS PAC ID | 5294636874 |
|---|---|
| Medicare Enrollment ID | O20110817000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609178276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10702 (New Jersey) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Beena Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912029281 PECOS PAC ID: 9234275983 Enrollment ID: I20091009000245 |
| Provider Name | Raymond J Scarpa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720204589 PECOS PAC ID: 7315117793 Enrollment ID: I20110822000184 |
| Provider Name | Langirene Aguilh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245440783 PECOS PAC ID: 9830369214 Enrollment ID: I20110822000222 |
| Provider Name | Michelle C Troope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306166111 PECOS PAC ID: 6901077189 Enrollment ID: I20110920000155 |
| Provider Name | Jennifer A Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780659888 PECOS PAC ID: 3870768658 Enrollment ID: I20111206000287 |
| Provider Name | Ayelet Stuhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215240718 PECOS PAC ID: 0840488227 Enrollment ID: I20120124000649 |
| Provider Name | Imelda Gina L Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417151994 PECOS PAC ID: 0446403430 Enrollment ID: I20121221000342 |
| Provider Name | Maggie Shin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548662885 PECOS PAC ID: 3274857743 Enrollment ID: I20150112001276 |
| Provider Name | Beverly Bahamondes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427445725 PECOS PAC ID: 1153634308 Enrollment ID: I20150717000812 |
| Provider Name | Vanessa Rodriguez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902204134 PECOS PAC ID: 2860718160 Enrollment ID: I20150917000802 |
| Provider Name | Martha A Mulvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659492130 PECOS PAC ID: 6709184187 Enrollment ID: I20160419000828 |
| Provider Name | Lesli S Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992178883 PECOS PAC ID: 6709150196 Enrollment ID: I20170925000310 |
| Provider Name | Amy J Lam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417325994 PECOS PAC ID: 2163706151 Enrollment ID: I20171114000169 |
| Provider Name | Celestina A Enuma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326571811 PECOS PAC ID: 6709144090 Enrollment ID: I20171214000423 |
| Provider Name | Magdalena R Pacanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760997761 PECOS PAC ID: 6507129608 Enrollment ID: I20180423002469 |
| Provider Name | Appolonia N Anike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215158936 PECOS PAC ID: 4587910062 Enrollment ID: I20180713001489 |
| Provider Name | Anna J Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063948586 PECOS PAC ID: 2062770431 Enrollment ID: I20181218001346 |
| Provider Name | Rani Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821582552 PECOS PAC ID: 0547697138 Enrollment ID: I20200220000392 |
| Provider Name | Mary J Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801318522 PECOS PAC ID: 7416388772 Enrollment ID: I20200521000144 |
| Provider Name | Cherion J Fullerton Coley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851810832 PECOS PAC ID: 4385069343 Enrollment ID: I20200806001168 |
| Provider Name | Adetayo Adeleke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952641540 PECOS PAC ID: 8921420761 Enrollment ID: I20200820000055 |
| Provider Name | Susan La Bagnara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467756619 PECOS PAC ID: 5092937912 Enrollment ID: I20220329003018 |
| Provider Name | Ajitha Ninan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285092205 PECOS PAC ID: 7214306265 Enrollment ID: I20221213003050 |
| Provider Name | Milcah Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780137935 PECOS PAC ID: 3375914401 Enrollment ID: I20230127000168 |
| Provider Name | Susanne K Walther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992832513 PECOS PAC ID: 6406228535 Enrollment ID: I20230217001470 |
| Provider Name | James K Kilonzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225766538 PECOS PAC ID: 9032574074 Enrollment ID: I20230427000417 |
| Provider Name | Ayesha L Noel-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457068140 PECOS PAC ID: 9436512787 Enrollment ID: I20230905000197 |
| Provider Name | Sajee Sebastian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730709247 PECOS PAC ID: 4486001468 Enrollment ID: I20231113002802 |
| Provider Name | Christine A Salmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154083947 PECOS PAC ID: 3476900473 Enrollment ID: I20231113003708 |
| Provider Name | Tina M Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093595928 PECOS PAC ID: 8921449893 Enrollment ID: I20240509000383 |
| Provider Name | Stacee L Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215793419 PECOS PAC ID: 7618317892 Enrollment ID: I20240515001541 |
City Of Newark Dept Of Child And Family Well Being Mobile Medical Van Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 William St, Newark, NJ 07102 Phone: 973-733-7558 | |
Health Star Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 685 Mount Prospect Ave, Newark, NJ 07104 Phone: 973-747-6579 Fax: 201-825-2908 | |
Ironbound Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Van Buren St, 1st Floor, Newark, NJ 07105 Phone: 973-344-6727 Fax: 973-491-5033 | |
Ferry Pain & Rehab Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Ferry St, Newark, NJ 07105 Phone: 973-344-0129 Fax: 973-344-0243 | |
Pri Med Care Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Summer Ave, Newark, NJ 07104 Phone: 973-484-2800 | |
Newark Community Health Centers,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 751 Broadway, Newark, NJ 07104 Phone: 973-483-1300 Fax: 973-483-3787 | |
Saint Michaels Physician Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 268 Martin Luther King Blvd., Newark, NJ 07102 Phone: 973-877-2963 |