Meridian Medical Group-Pediatric Urology

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

Legal business name

MERIDIAN MEDICAL GROUP-PEDIATRIC UROLOGY

Practice address

1200 Jumping Brook Rd
BLDG 5
Neptune, NJ 07753-2634

Phone

(732) 902-7000

Fax

(732) 481-8464

NPI assigned

Oct 11, 2016

Last updated

Oct 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Sable, M.D.

Title

President and Treasurer

Phone

(732) 776-4900

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Michael Howard Fleisher, MD

  • Urology Physician
  • East Brunswick, NJ
  • NPI 1972595593

  Pediatric Urology

  NPD (past)
• Thomas Schumann Vates, M.D.

  • Pediatric Urology Physician
  • East Brunswick, NJ
  • NPI 1447258637
  NPD (past)
• Lynn Marie Guadagno, PA

  • Physician Assistant
  • Staten Island, NY
  • NPI 1083630958
  NPD (past)

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1083164305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 CRANBURY RD",
            "address_2": "SUITE 4",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165419",
            "telephone_number": "732-613-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JUMPING BROOK RD",
            "address_2": "BLDG 5",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532634",
            "telephone_number": "732-902-7000",
            "fax_number": "732-481-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN MEDICAL GROUP-PEDIATRIC UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "SABLE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT AND TREASURER",
        "authorized_official_telephone_number": "732-776-4900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Hospitals Corporation Dba Jsumc
• Meridian Hospitals Corporation Dba Jsumv
• Meridian Hospitals Corporation, Inc. Dba Jersey Shore University Medic (Jersey Shore University Medical Center)
• Meridian Hospitlals Cooperation Dba Jsumc
• Meridian Medical Associates P C
• Meridian Medical Group-Retail Clinic PC
• Meridian Obstetrics and Gynecology Associates P C
• Meridian Trauma Associates, P.C.
• Anna Kaisa T Mero-Shea, PT
• Michael Hanna Meseha

• Pediatric Urology Physician in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Pediatric Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.