Active NPI
Essex Hudson Urology PC
- Specialist
- Bloomfield, NJ
National Provider Identifier
1073551016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- ESSEX HUDSON UROLOGY PC
- Practice address
- 256 Broad St
Bloomfield, NJ 07003-2766 - Phone
- (973) 743-4450
- Fax
- (973) 429-9076
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanne M Minck
- Title
- Manager
- Phone
- (201) 225-9254
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
256 Broad St
Bloomfield, NJ 07003-2766
Mailing address
PO Box 550
Belleville, NJ 07109-0550
Phone (201) 225-9254
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0863732 | Essex Hudson Urology PC | Certificate of waiver | Aug 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
213 Frank E Rodgers Blvd S
Harrison, NJ 07029
Phone (201) 482-7070
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Somerville, NJ
- NPI 1396776910
-
- Surgical Physician Assistant
- Staten Island, NY
- NPI 1023328911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073551016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071090550",
"telephone_number": "201-225-9254",
"fax_number": "201-225-9254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 BROAD ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032766",
"telephone_number": "973-743-4450",
"fax_number": "973-429-9076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSEX HUDSON UROLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MINCK",
"authorized_official_first_name": "JEANNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "201-225-9254"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.