Individual provider Active NPI

Stuart Maru Diamond, MD

  • Urology Physician
  • Salem, NJ
National Provider Identifier
1174589709
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MA67357 Issued in NJ
Practice address
4 Bypass Rd
Suite 103
Salem, NJ 08079
Phone
(856) 339-4466
Fax
(856) 336-6580
NPI assigned
Apr 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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 MA67357 NJ Primary

Addresses

Primary practice location

4 Bypass Rd
Suite 103
Salem, NJ 08079

Mailing address

4 Bypass Rd
Suite 103
Salem, NJ 08079
Phone (856) 339-4466

Other identifiers 1

IdentifierTypeStateIssuer
7747900MedicaidNJ

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
I20050420000035 NJ Practitioner - Urology 0143206920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Albany Medical College of Union University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Bypass Rd
Suite 103
Salem, NJ 08079-2053
Phone (856) 339-4453

Hospital & facility affiliations

  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

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
MA67357NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Advanced Urology Urology CurrentSince Apr 4, 2005 Accepting new patients
Jefferson University Physicians Urology Past Accepting new patients
Jefferson University Physicians Past Accepting new patients

Locations

703 E Main St
Ste C
Moorestown, NJ 08057
Phone (856) 339-4466

4 Bypass Rd
Ste 103
Salem, NJ 08079
Phone (856) 339-4453

215 Sunset Rd
Ste 300
Willingboro, NJ 08046
Phone (856) 339-4466

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc33702_centerforadvancedurologysalem
  • Direct secure messaging: stuartdiamond@cfau.medalliesdirect.net

Organizations & group practices 3

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 7

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": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1174589709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BYPASS RD",
            "address_2": "SUITE 103",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "08079",
            "telephone_number": "856-339-4466",
            "fax_number": "856-336-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BYPASS RD",
            "address_2": "SUITE 103",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "08079",
            "telephone_number": "856-339-4466",
            "fax_number": "856-336-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "STUART",
        "middle_name": "MARU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "MA67357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7747900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NJ

Sources for this page

Verify at the official NPI Registry.