Active NPIOrganization

Boston Medical Group-New Jersey, P.a.

Urology in Lyndhurst, New Jersey

NPI Number1578973392
Practice location
1050 Wall Street West, Suite 120, Lyndhurst, NJ 07071
Fax
949-258-5076
Last updated
May 1, 2014

Boston Medical Group-New Jersey, P.a. is a healthcare organization based in Lyndhurst, NJ. Boston Medical Group-New Jersey, P.a. practices in Lyndhurst, NJ. The NPI Number for Boston Medical Group-New Jersey, P.a. is 1578973392. The current practice location address for Boston Medical Group-New Jersey, P.a. is 1050 Wall Street West, Suite 120, Lyndhurst, NJ 07071 and can be reached out via phone at 949-200-6616 and via fax at 949-258-5076.

Provider Profile Details

NPI Number
1578973392
Provider Name
Boston Medical Group-New Jersey, P.a.
Provider Entity Type
Organization
Address
1050 Wall Street West, Suite 120, Lyndhurst, NJ 07071
Phone Number
949-200-6616
Fax Number
949-258-5076
Primary Taxonomy
Urology · 208800000X
Organization Subpart
No
Authorized Official
Mr. Tom L. Le, MD · Medical Director · 818-808-2828
Provider Enumeration Date
May 1, 2014
Last Update Date
May 1, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
1050 Wall Street West, Suite 120
Lyndhurst, NJ 07071
Zip
07071
Phone Number
949-200-6616
Fax Number
949-258-5076
Lyndhurst, NJ 07071Get directions →

Provider Business Mailing Address Details

Address
23275 S Point Drive Suite 100
Laguna Hills, CA 92653
City
Laguna Hills
State
CA
Zip
92653
Phone Number
443-542-9241
Fax Number
443-542-9442

License Information

Taxonomy
Urology · 208800000X · 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 Boston Medical Group-New Jersey, P.a.?

The NPI number of Boston Medical Group-New Jersey, P.a. is 1578973392. It was assigned on May 1, 2014 and is currently active in the NPPES registry.

What is the specialty of Boston Medical Group-New Jersey, P.a.?

Boston Medical Group-New Jersey, P.a. is registered under the primary taxonomy Urology (code 208800000X).

Where does Boston Medical Group-New Jersey, P.a. practice?

The practice location is 1050 Wall Street West, Suite 120, Lyndhurst, NJ 07071. The office can be reached at 949-200-6616 (phone) or 949-258-5076 (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 1578973392 directly on the NPPES registry website.

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