# UPA NP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University Ankle and Foot NP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770784225
- **Authorized official:** SIMI BAKSHI (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (973) 972-6713

## Contact information

- **Practice address:** 30 BERGEN STREET, ADMC 121205, NEWARK, NJ 07107-3000
- **Practice address phone:** (973) 972-0037
- **Practice address fax:** (973) 972-9355
- **Mailing address:** 30 BERGEN STREET, ADMC 121205, NEWARK, NJ 07107-3000
- **Mailing address phone:** (973) 972-0037
- **Mailing address fax:** (973) 972-9355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | Yes |
| 213E00000X | Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 08/22/2020