NPIMap

Organization Active NPI

Pediatric Urology Associates of New Jersey, PC

  • Specialist
  • Englewood, NJ
National Provider Identifier
1013295245
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA06137500 Issued in NJ
Legal business name
PEDIATRIC UROLOGY ASSOCIATES OF NEW JERSEY, PC
Practice address
350 Engle St
Suite 5N
Englewood, NJ 07631-1808
Phone
(201) 894-3690
NPI assigned
Jul 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Dr. Edward Reda, MDNPI 1376579938
Title
President
Phone
(914) 962-8290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA06137500 NJ Primary

Addresses

Primary practice location

350 Engle St
Suite 5N
Englewood, NJ 07631-1808

Mailing address

334 Underhill Ave
Building 3C
Yorktown Heights, NY 10598-4530
Phone (914) 962-8290

National Provider Directory

National Provider Directory

Locations

350 Engle St
Ste 5N
Englewood, NJ 07631
Phone (201) 894-3690

350 Engle St
Ste 3W
Englewood, NJ 07631

360 Essex St
Ste 406
Hackensack, NJ 07601

334 Underhill Ave
Ste 3C
Yorktown Hts, NY 10598
Phone (914) 241-7800

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1013295245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 UNDERHILL AVE",
            "address_2": "BUILDING 3C",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984530",
            "telephone_number": "914-962-8290",
            "fax_number": "914-962-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ENGLE ST",
            "address_2": "SUITE 5N",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311808",
            "telephone_number": "201-894-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC UROLOGY ASSOCIATES OF NEW JERSEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "REDA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-962-8290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06137500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.