Individual provider Active NPI

Sean Christopher Egan, M.D.

  • Urology Physician
  • West Orange, NJ
National Provider Identifier
1164588711
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MA62364 Issued in NJ
Practice address
443 Northfield Ave
Suite 201a
West Orange, NJ 07052-3093
Phone
(973) 324-0103
Fax
(973) 718-4611
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MA62364 NJ Primary

Addresses

Primary practice location

443 Northfield Ave
Suite 201a
West Orange, NJ 07052-3093

Mailing address

443 Northfield Ave
Suite 201a
West Orange, NJ 07052-3093
Phone (973) 324-0103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090608000274 NJ Practitioner - Urology 8224188594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Rutgers New Jersey Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson MD GroupGroup PAC ID 6103240478, 110 clinicians

Practice addresses (Care Compare)

1625 Anderson Ave
Suite 204
Fort Lee, NJ 07024-2748
Phone (201) 224-0011

443 Northfield Ave
Suite 301
West Orange, NJ 07052-3022
Phone (973) 731-0203

Hospital & facility affiliations

  • St Mary'S General Hospital Hospital, Passaic, NJ, CCN 310006
  • Saint Michael'S Medical Center Hospital, Newark, NJ, CCN 310096
  • Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009
  • Saint Clare'S Hospital/ Denville Campus Hospital, Denville, NJ, CCN 310050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA62364NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2019 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Aug 1, 2019 Accepting new patients
Hudson MD Group CurrentSince Mar 15, 2023 Accepting new patients
Riverside Medical Group PastSince Apr 2, 2009 Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients

Locations

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

324 Palisade Ave
Fl 2
Jersey City, NJ 07307
Phone (201) 386-1400

784 Grand Ave
Ste 201
Ridgefield, NJ 07657
Phone (201) 346-0999

9 Hospital Dr
Ste A22
Toms River, NJ 08755
Phone (973) 429-1300

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

443 Northfield Ave
Fl 201
West Orange, NJ 07052
Phone (973) 324-0103

443 Northfield Ave
West Orange, NJ 07052
Phone (973) 324-0103

443 Northfield Ave
Fl 201A
West Orange, NJ 07052
Phone (973) 324-0103

443 Northfield Ave
Ste 201A
West Orange, NJ 07052
Phone (973) 324-0103

Interoperability endpoints

  • Direct secure messaging: seganmd@auca.emadirect.md

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1164588711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 NORTHFIELD AVE",
            "address_2": "SUITE 201A",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523093",
            "telephone_number": "973-324-0103",
            "fax_number": "973-718-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 NORTHFIELD AVE",
            "address_2": "SUITE 201A",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523093",
            "telephone_number": "973-324-0103",
            "fax_number": "973-718-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "SEAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "MA62364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.