- Practice location
- 1515 Broad St, Suite B130, Bloomfield, NJ 07003-3002
- Phone
- 973-873-7000
- Fax
- 973-743-8943
- Last updated
- July 24, 2015
New Jersey Urology LLC is a healthcare organization based in Bloomfield, NJ. New Jersey Urology LLC practices in Bloomfield, NJ. The NPI Number for New Jersey Urology LLC is 1588822423 and holds a License No. 25MA02050900 (NJ). The current practice location address for New Jersey Urology LLC is 1515 Broad St, Suite B130, Bloomfield, NJ 07003-3002 and can be reached out via phone at 973-873-7000 and via fax at 973-743-8943.
Provider Profile Details
- NPI Number
- 1588822423
- Provider Name
- New Jersey Urology LLC
- Provider Entity Type
- Organization
- Address
- 1515 Broad St, Suite B130, Bloomfield, NJ 07003-3002
- Phone Number
- 973-873-7000
- Fax Number
- 973-743-8943
- Primary Taxonomy
- Urology · 208800000X
- Organization Subpart
- No
- Authorized Official
- Victor Houtz · Chief Operating Officer · 973-873-7000
- Provider Enumeration Date
- May 28, 2008
- Last Update Date
- July 24, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1515 Broad St
Suite B130
Bloomfield, NJ 07003-3002 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-3002
- Phone Number
- 973-873-7000
- Fax Number
- 973-743-8943
Provider Business Mailing Address Details
- Address
- 1515 Broad St
Suite B130
Bloomfield, NJ 07003-3002 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-3002
- Phone Number
- 973-873-7000
- Fax Number
- 973-743-8943
License Information
- License Number (1)
- 25MA02050900
- License State (1)
- NJ
- Taxonomy (2)
- Clinical Medical Laboratory · 291U00000X
- Taxonomy (3)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (4)
- 25MA02050900
- License State (4)
- NJ
- Taxonomy (4)
- Urology · 208800000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Urology providers near Bloomfield, NJ
View all Urology providers in Bloomfield →Frequently Asked Questions
What is the NPI number of New Jersey Urology LLC?
The NPI number of New Jersey Urology LLC is 1588822423. It was assigned on May 28, 2008 and is currently active in the NPPES registry.
What is the specialty of New Jersey Urology LLC?
New Jersey Urology LLC is registered under the primary taxonomy Urology (code 208800000X), licensed in NJ under license number 25MA02050900.
Where does New Jersey Urology LLC practice?
The practice location is 1515 Broad St, Suite B130, Bloomfield, NJ 07003-3002. The office can be reached at 973-873-7000 (phone) or 973-743-8943 (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 1588822423 directly on the NPPES registry website.