Individual provider Active NPI

Jules M Geltzeiler, MD

  • Urology Physician
  • Eatontown, NJ
National Provider Identifier
1083693394
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA03839700 Issued in NJ
Practice address
10 Industrial Way E
Suite 101
Eatontown, NJ 07724-3332
Phone
(732) 963-9091
Fax
(732) 963-9092
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MA03839700 NJ Primary
Urology Physician 208800000X 74529 MN

Addresses

Primary practice location

10 Industrial Way E
Suite 101
Eatontown, NJ 07724-3332

Mailing address

10 Industrial Way E Ste 101
Eatontown, NJ 07724-3332
Phone (732) 963-0901

Other practice location 1

1650 4th St SE
Rochester, MN 55904-4717
Phone (507) 529-6600

Other identifiers 1

IdentifierTypeStateIssuer
1657305MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050607001168 NJ Practitioner - Urology 8022051382 Reassigns benefits to 1 organization
I20230713001813 MN Practitioner - Urology 8022051382

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1650 4TH St SE
Rochester, MN 55904-4717

Hospital & facility affiliations

  • Olmsted Medical Center Hospital, Rochester, MN, CCN 240006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
74529MNMDUrology Physician
25MA03839700NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group, PC CurrentSince Jun 15, 2022 Accepting new patients

Locations

10 Industrial Way E
Ste 101
Eatontown, NJ 07724
Phone (732) 222-4655

300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838

Interoperability endpoints

  • Direct secure messaging: jgeltzeiler126914@epicdirect.rwjbh.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1083693394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 INDUSTRIAL WAY E STE 101",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243332",
            "telephone_number": "732-963-0901",
            "fax_number": "732-963-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 INDUSTRIAL WAY E",
            "address_2": "SUITE 101",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243332",
            "telephone_number": "732-963-9091",
            "fax_number": "732-963-9092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559044717",
            "country_code": "US",
            "telephone_number": "507-529-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GELTZEILER",
        "first_name": "JULES",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA03839700",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MN",
            "license": "74529",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1657305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.