Active NPI
Sean Christopher Egan, M.D.
- Urology Physician
- West Orange, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MA62364
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Saint Michael'S Medical Center
- Clara Maass Medical Center
- Saint Clare'S Hospital/ Denville Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA62364 | NJ | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Hudson MD Group | Current | Accepting new patients | |
| Riverside Medical Group | Past | Accepting new patients | |
| David W. Lee MD PA | Past | 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
- 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.
-
- Family Medicine Physician
- Englewood Cliffs, NJ
- NPI 1497301998
-
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- Adult Medicine Physician
- Fort Lee, NJ
- NPI 1932394079
-
- Nurse Practitioner
- Secaucus, NJ
- NPI 1053867598
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, NJ
- NPI 1902901333
-
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1568825545
-
- General Acute Care Hospital
- Passaic, NJ
- NPI 1770901761
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.