Henry Budd

Individual provider Active NPI Urology Physician · West Paterson, NJ

NPI 1215905906 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1215905906
Entity type
Individual (NPI type 1)
Primary specialty
Urology Physician 208800000X
License
25MA02597300 (NJ)
Practice address
205 Browertown Rd
West Paterson, NJ 07424-2671
Phone
(973) 890-9168
Fax
(973) 890-9621
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA02597300NJMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Specialty Care PA Past Accepting new patients
Sovereign Medical Group, LLC Past Accepting new patients
Surgicare Surgical Associates of Fairlawn, LLC Past Accepting new patients
Sovereign Medical Group LLC Urology Past
since Mar 1, 2011
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MA02597300 NJ Yes

Addresses

Primary practice location

205 Browertown Rd
West Paterson, NJ 07424-2671

Mailing address

205 Browertown Rd
West Paterson, NJ 07424-2671
Phone (973) 890-9168

Other providers in West Paterson, NJ

All providers in West Paterson, NJ · Urology Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.