Organization Active NPI

Mid-Essex Urology Associates

  • Specialist
  • Orange, NJ
National Provider Identifier
1194867275
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MID-ESSEX UROLOGY ASSOCIATES
Practice address
258 Central Ave # 264
Orange, NJ 07050-3414
Phone
(973) 677-1144
Fax
(973) 677-9145
NPI assigned
Feb 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George A Johnson Jr., MDNPI 1326145590
Title
Partner
Phone
(973) 677-1144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NJ Primary

Addresses

Primary practice location

258 Central Ave # 264
Orange, NJ 07050-3414

Mailing address

258 Central Ave # 264
Orange, NJ 07050-3414
Phone (973) 677-1144

National Provider Directory

National Provider Directory

Locations

258 Central Ave
Orange, NJ 07050
Phone (973) 677-1144

258 Central Ave
#264
Orange, NJ 07050
Phone (973) 677-1144

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194867275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 CENTRAL AVE # 264",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503414",
            "telephone_number": "973-677-1144",
            "fax_number": "973-677-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 CENTRAL AVE # 264",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070503414",
            "telephone_number": "973-677-1144",
            "fax_number": "973-677-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ESSEX UROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-677-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, NJ

Sources for this page

  • 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.