Active NPIOrganization

Premier Urology Group LLC

Specialist in Old Bridge, New Jersey

NPI Number1376866616
Practice location
3 Hospital Plz, Suite 200, Old Bridge, NJ 08857-3093
Fax
—
Last updated
August 17, 2010

Premier Urology Group LLC is a healthcare organization based in Old Bridge, NJ. Premier Urology Group LLC practices in Old Bridge, NJ. The NPI Number for Premier Urology Group LLC is 1376866616 and holds a License No. 25MA05567600 (NJ). The current practice location address for Premier Urology Group LLC is 3 Hospital Plz, Suite 200, Old Bridge, NJ 08857-3093 and can be reached out via phone at 732-679-2010.

Provider Profile Details

NPI Number
1376866616
Provider Name
Premier Urology Group LLC
Provider Entity Type
Organization
Address
3 Hospital Plz, Suite 200, Old Bridge, NJ 08857-3093
Phone Number
732-679-2010
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Benjamin Fand, MD · MD · 732-679-2010
Provider Enumeration Date
March 1, 2010
Last Update Date
August 17, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Hospital Plz
Suite 200
Old Bridge, NJ 08857-3093
Zip
08857-3093
Phone Number
732-679-2010
Old Bridge, NJ 08857Get directions →

Provider Business Mailing Address Details

Address
3 Hospital Plz
Suite 200
Old Bridge, NJ 08857-3093
City
Old Bridge
State
NJ
Zip
08857-3093
Phone Number
732-679-2010

License Information

License Number
25MA05567600
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 1376866616. It was assigned on March 1, 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 25MA05567600.

Where does Premier Urology Group LLC practice?

The practice location is 3 Hospital Plz, Suite 200, Old Bridge, NJ 08857-3093. The office can be reached at 732-679-2010 (phone).

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 1376866616 directly on the NPPES registry website.

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