Provider Demographics
NPI:1659582765
Name:UNIVERSITY OF MEDICINE & DENTISTRY OF NEW JERSEY
Entity Type:Organization
Organization Name:UNIVERSITY OF MEDICINE & DENTISTRY OF NEW JERSEY
Other - Org Name:UNIVERSITY HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:ADVANCE PRACTICE NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:MARTHA
Authorized Official - Last Name:BAPTISTE
Authorized Official - Suffix:
Authorized Official - Credentials:CCRN, APRN-BC, NP-C
Authorized Official - Phone:973-972-3555
Mailing Address - Street 1:24 HUTTON AVE
Mailing Address - Street 2:UNIT 10
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-4849
Mailing Address - Country:US
Mailing Address - Phone:973-736-7403
Mailing Address - Fax:973-736-3022
Practice Address - Street 1:150 BERGEN ST
Practice Address - Street 2:SUITE F 102
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2496
Practice Address - Country:US
Practice Address - Phone:973-972-3555
Practice Address - Fax:973-972-3510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN104007282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital