University Hospital
Nurse Anesthetist, Certified Registered in Newark, NJ. Organization (NPI-2).
Details
- NPI
- 1609045277
- Entity type
- Organization (NPI-2)
- Legal business name
- University Hospital
- Organization subpart
- No
- Enumeration date
- Feb 27, 2008
- Certification date
- Mar 28, 2024
- Last updated
- Mar 28, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - HOSPITAL DEPARTMENT(S)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | Yes |
Practice location
150 Bergen StreetDepartment Of Anesthesiology
Newark, NJ 07103-2496
Phone 973-972-7867 · Fax 973-972-2357
Mailing address
150 Bergen StNewark, NJ 07103-2496
Phone 973-972-0882 · Fax 973-972-5960
Authorized official
John Gary Huck
Cfo
9739720882
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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