Organization Active NPI

Somers Point Urology Associates,P.a.

  • Urology Physician
  • Somers Point, NJ
National Provider Identifier
1073549721
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SOMERS POINT UROLOGY ASSOCIATES,P.A.
Practice address
403 Bethel Rd
Somers Point, NJ 08244-2188
Phone
(609) 653-8046
Fax
(609) 601-1406
NPI assigned
Jun 24, 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
Ms. Carol June Tadley
Title
Billing Manager
Phone
(609) 653-8046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

403 Bethel Rd
Somers Point, NJ 08244-2188

Mailing address

403 Bethel Rd
Somers Point, NJ 08244-2188
Phone (609) 653-8046

National Provider Directory

National Provider Directory

Locations

403 Bethel Rd
Somers Point, NJ 08244
Phone (609) 927-8746

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073549721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BETHEL RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442188",
            "telephone_number": "609-653-8046",
            "fax_number": "609-601-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BETHEL RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442188",
            "telephone_number": "609-653-8046",
            "fax_number": "609-601-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERS POINT UROLOGY ASSOCIATES,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TADLEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "609-653-8046",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, 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.