MEDICARE: UNIVERSAL HEALTH PARTNERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician
2	207RH0003X	Hematology & Oncology Physician
3	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1952142127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL HEALTH PARTNERS LLC

Provider Business Mailing Address
First Line	:	20 N COUNTY LINE RD
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-0247
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20 N COUNTY LINE RD
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-0247
Country	:	US
Telephone Number	:	732-961-8524
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	IDAN BENNY GOLDSTEIN
Credential	:
Telephone Number	:	732-961-8524

Provider Enumeration Date	:	06/03/2024
Last Update Date	:	07/31/2025

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