Organization Active NPI

Lakeland Urology L L C

Doing business as Lakeland Urology

  • Urology Physician
  • Denville, NJ
National Provider Identifier
1043252356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
LAKELAND UROLOGY L L C
Doing business as
Lakeland Urology
Practice address
16 Pocono Rd
Suite 302
Denville, NJ 07834-2901
Phone
(973) 627-3411
Fax
(973) 627-1095
NPI assigned
Jun 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vincent Cubelli, M.D.NPI 1053353474
Title
Sole Member
Phone
(973) 627-3411

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
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

16 Pocono Rd
Suite 302
Denville, NJ 07834-2901

Mailing address

16 Pocono Rd
Suite 302
Denville, NJ 07834-2901
Phone (973) 627-3411

Other names 1

  • Lakeland Urology Doing business as

National Provider Directory

National Provider Directory

Locations

16 Pocono Rd
Ste 302
Denville, NJ 07834
Phone (973) 627-3411

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043252356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 POCONO RD",
            "address_2": "SUITE 302",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342901",
            "telephone_number": "973-627-3411",
            "fax_number": "973-627-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POCONO RD",
            "address_2": "SUITE 302",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342901",
            "telephone_number": "973-627-3411",
            "fax_number": "973-627-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND UROLOGY L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUBELLI",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "973-627-3411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.