Healthcare Provider Details

I. General information

NPI: 1952142127
Provider Name (Legal Business Name): UNIVERSAL HEALTH PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 N COUNTY LINE RD
JACKSON NJ
08527-0247
US

IV. Provider business mailing address

20 N COUNTY LINE RD
JACKSON NJ
08527-0247
US

V. Phone/Fax

Practice location:
  • Phone: 732-961-8524
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: IDAN BENNY GOLDSTEIN
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 732-961-8524