Individual provider Active NPI

William Terens, MD

  • Urology Physician
  • Cranford, NJ
National Provider Identifier
1013020189
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA05771900 Issued in NJ
Practice address
570 South Ave E BLDG a
Cranford, NJ 07016-3266
Phone
(908) 603-4200
Fax
(908) 497-1633
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA05771900 NJ
Urology Physician 208800000X 25MA05771900 NJ Primary

Addresses

Primary practice location

570 South Ave E BLDG a
Cranford, NJ 07016-3266

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other practice location 1

10 Parsonage Rd
Suite 118
Edison, NJ 08837-2429
Phone (732) 494-9400

Other identifiers 7

IdentifierTypeStateIssuer
38H681OtherNYEMPIRE BC/BS OF NY EDISON
MS185OtherNJOXFORD ID #
0563097OtherNJAETNA HMO ID #
38H683OtherNYEMPIRE BC/BS OF NY OB
340009414OtherNJRR MEDICARE ID #
4302594OtherNJAETNA PPO ID #
1099841OtherNJGHI PPO ID #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wterens10015@njurology.direct-ci.com New Jersey Urology LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090623000626 NJ Practitioner - Urology 4789638040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
New York University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05771900NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
Urological Surgical Associates PA Specialist Current Accepting new patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
New Jersey Urology LLC Urology CurrentSince Sep 14, 2019 Accepting new patients
Summit Medical Group, Inc PastSince Sep 14, 2019 Accepting new patients

Locations

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

1515 Broad St
Ste B130
Bloomfield, NJ 07003
Phone (973) 842-2730

570 South Ave E
Bldg A
Cranford, NJ 07016
Phone (908) 272-7990

10 Parsonage Rd
Ste 118
Edison, NJ 08837
Phone (732) 494-9400

2 Hospital Plz
Ste 430
Old Bridge, NJ 08857
Phone (732) 494-9400

1225 McBride Ave
Woodland Park, NJ 07424
Phone (908) 277-8699

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1013020189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 SOUTH AVE E BLDG A",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163266",
            "telephone_number": "908-603-4200",
            "fax_number": "908-497-1633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Parsonage Rd",
            "address_2": "Suite 118",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "NJ",
            "postal_code": "088372429",
            "country_code": "US",
            "telephone_number": "732-494-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERENS",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05771900",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA05771900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS OF NY EDISON",
            "identifier": "38H681",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID #",
            "identifier": "MS185",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO ID #",
            "identifier": "0563097",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS OF NY OB",
            "identifier": "38H683",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE ID #",
            "identifier": "340009414",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO ID #",
            "identifier": "4302594",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO ID #",
            "identifier": "1099841",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wterens10015@njurology.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "New Jersey Urology LLC",
            "address_1": "1515 Broad St",
            "address_2": "Suite B130",
            "city": "Bloomfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070033002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

Verify at the official NPI Registry.