Premier Urology Group LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA04379500 Issued in NJ

Legal business name

PREMIER UROLOGY GROUP LLC

Practice address

608 Sherwood Pkwy
Mountainside, NJ 07092-2512

Phone

(908) 789-8788

Fax

(908) 233-0575

NPI assigned

Mar 9, 2010

Organization subpart

No

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

Authorized official

Name

Kenneth Ring, MD

Title

MD

Phone

(908) 789-8788

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1053634816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 SHERWOOD PKWY",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922512",
            "telephone_number": "908-789-8788",
            "fax_number": "908-233-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 SHERWOOD PKWY",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922512",
            "telephone_number": "908-789-8788",
            "fax_number": "908-233-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER UROLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "908-789-8788",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04379500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Pillon, M.D.
• Jennifer Pires
• Michele Marie Pittenger, LPTA
• Leeann Potochney, PT, DPT
• Renee J Powers, OTR
• Paul Matthew Presti, M.D.
• Prime Care One, LLC
• Janice L Prontnicki, MD
• Joann M Purdy, LCSW
• Katelyn Alexandra Quinn

• Specialist in Mountainside, NJ
• Providers in Mountainside, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.