Active NPI
William Kohlberg, M.D.
- Urology Physician
- Freehold, NJ
National Provider Identifier
1063523892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MA38764
- Practice address
- 501 Iron Bridge Rd Ste 5
Freehold, NJ 07728-5305 - Phone
- (732) 780-7603
- Fax
- (732) 308-3323
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MA38764 | NJ | Primary |
Addresses
Primary practice location
501 Iron Bridge Rd Ste 5
Freehold, NJ 07728-5305
Mailing address
501 Iron Bridge Rd Ste 5
Freehold, NJ 07728-5305
Phone (732) 780-7603
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191003001999 | NJ | Order and Referring Only - Urology | 3274725189 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA38764 | NJ | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063523892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 IRON BRIDGE RD STE 5",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077285305",
"telephone_number": "732-780-7603",
"fax_number": "732-308-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 IRON BRIDGE RD STE 5",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077285305",
"telephone_number": "732-780-7603",
"fax_number": "732-308-3323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLBERG",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "MA38764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.