Associated Advanced Adult & Pediatric Urology PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

111622 Issued in NY

Legal business name

ASSOCIATED ADVANCED ADULT & PEDIATRIC UROLOGY PC

Practice address

1695 Eastchester Rd
Suite 306
Bronx, NY 10461-2374

Phone

(718) 904-0411

Fax

(718) 904-0222

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Bhupendra Tolia, MD

Title

MD

Phone

(718) 904-0411

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1205033099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 EASTCHESTER RD",
            "address_2": "SUITE 306",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612374",
            "telephone_number": "718-904-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 EASTCHESTER RD",
            "address_2": "SUITE 306",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612374",
            "telephone_number": "718-904-0411",
            "fax_number": "718-904-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED ADVANCED ADULT & PEDIATRIC UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "TOLIA",
        "authorized_official_first_name": "BHUPENDRA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-904-0411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NY",
            "license": "111622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.