University Urology Associates, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA03648000 Issued in NJ

Legal business name

UNIVERSITY UROLOGY ASSOCIATES, PA

Practice address

630 Broad St
Carlstadt, NJ 07072-1114

Phone

(201) 460-8600

Fax

(201) 460-8603

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Gene Rosenberg

Title

Delegated Official

Phone

(201) 343-0082

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134290752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 719",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-343-0082",
            "fax_number": "201-488-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BROAD ST",
            "city": "CARLSTADT",
            "state": "NJ",
            "postal_code": "070721114",
            "telephone_number": "201-460-8600",
            "fax_number": "201-460-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY UROLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "201-343-0082"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03648000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stop and Shop Supermarket Co LLC
• Surgicare Surgical Associates of Carlstadt, LLC
• Elzbieta Szymanowska
• Transcend Surgery Center LLC
• Transcend Surgery Ctr LLC
• Walgreen Co
• Joan P Weber, DC
• Kimberly A Wilkes, R. PH.
• Carolyn Woyce, NP
• Erin Young

• Specialist in Carlstadt, NJ
• Providers in Carlstadt, NJ by specialty
• Specialist in New Jersey

• 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.