Ron S Israeli MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

25MA07388600 Issued in NJ

Legal business name

RON S ISRAELI MD PC

Practice address

349 E Northfield Rd
Suite 202
Livingston, NJ 07039-4802

Phone

(973) 251-2055

NPI assigned

Apr 27, 2016

Organization subpart

No

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

Authorized official

Name

Ron Samuel Israeli, MD

Title

President

Phone

(973) 251-2055

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1194170126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 E NORTHFIELD RD",
            "address_2": "SUITE 202",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394802",
            "telephone_number": "973-251-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 E NORTHFIELD RD",
            "address_2": "SUITE 202",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394802",
            "telephone_number": "973-251-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON S ISRAELI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "ISRAELI",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-251-2055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA07388600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda M Rogers, NP
• Lisa Robin Rogers, OT
• Sarah R Roghanian, APN
• Gregory Joseph Rokosz, D.O.
• James Andrew Rommer, MD
• Jennifer Rose, PT
• Warren Rose
• Hili Rosen, M.D.
• Alyson Rosenberg, LPC
• Andria Rosenberg, O.T.

• Urology Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.