NPIMap

Organization Active NPI

New Jersey Urology Associates,P.a.

  • Specialist
  • Secaucus, NJ
National Provider Identifier
1104972678
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA030534 Issued in NJ
Legal business name
NEW JERSEY UROLOGY ASSOCIATES,P.A.
Practice address
110 Meadowlands Pkwy # B
Suite 302
Secaucus, NJ 07094-2302
Phone
(201) 867-1297
Fax
(201) 867-4165
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Ira D Tanzer, M.D.
Title
President-C.E.O.
Phone
(201) 788-2437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA030534 NJ Primary

Addresses

Primary practice location

110 Meadowlands Pkwy # B
Suite 302
Secaucus, NJ 07094-2302

Mailing address

PO Box 250
Saddle River, NJ 07458-0250
Phone (201) 962-3919

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1104972678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074580250",
            "telephone_number": "201-962-3919",
            "fax_number": "201-962-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEADOWLANDS PKWY # B",
            "address_2": "SUITE 302",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942302",
            "telephone_number": "201-867-1297",
            "fax_number": "201-867-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY UROLOGY ASSOCIATES,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "TANZER",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT-C.E.O.",
        "authorized_official_telephone_number": "201-788-2437",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA030534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Secaucus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.