Premier Urology Group LLC
Specialist in Mountainside, New Jersey
1053634816- Practice location
- 608 Sherwood Pkwy, Mountainside, NJ 07092-2512
- Phone
- 908-789-8788
- Fax
- 908-233-0575
- Last updated
- March 9, 2010
Premier Urology Group LLC is a healthcare organization based in Mountainside, NJ. Premier Urology Group LLC practices in Mountainside, NJ. The NPI Number for Premier Urology Group LLC is 1053634816 and holds a License No. 25MA04379500 (NJ). The current practice location address for Premier Urology Group LLC is 608 Sherwood Pkwy, Mountainside, NJ 07092-2512 and can be reached out via phone at 908-789-8788 and via fax at 908-233-0575.
Provider Profile Details
- NPI Number
- 1053634816
- Provider Name
- Premier Urology Group LLC
- Provider Entity Type
- Organization
- Address
- 608 Sherwood Pkwy, Mountainside, NJ 07092-2512
- Phone Number
- 908-789-8788
- Fax Number
- 908-233-0575
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Kenneth Ring, MD · MD · 908-789-8788
- Provider Enumeration Date
- March 9, 2010
- Last Update Date
- March 9, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 608 Sherwood Pkwy
Mountainside, NJ 07092-2512 - City
- Mountainside
- State
- New Jersey
- Zip
- 07092-2512
- Phone Number
- 908-789-8788
- Fax Number
- 908-233-0575
Provider Business Mailing Address Details
- Address
- 608 Sherwood Pkwy
Mountainside, NJ 07092-2512 - City
- Mountainside
- State
- NJ
- Zip
- 07092-2512
- Phone Number
- 908-789-8788
- Fax Number
- 908-233-0575
License Information
- License Number
- 25MA04379500
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Premier Urology Group LLC?
The NPI number of Premier Urology Group LLC is 1053634816. It was assigned on March 9, 2010 and is currently active in the NPPES registry.
What is the specialty of Premier Urology Group LLC?
Premier Urology Group LLC is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MA04379500.
Where does Premier Urology Group LLC practice?
The practice location is 608 Sherwood Pkwy, Mountainside, NJ 07092-2512. The office can be reached at 908-789-8788 (phone) or 908-233-0575 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053634816 directly on the NPPES registry website.