NPIMap

Organization Active NPI

Jersey Urology Group P. a.

  • Urology Physician
  • Somers Point, NJ
National Provider Identifier
1225193162
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA08050100 Issued in NJ
Legal business name
JERSEY UROLOGY GROUP P. A.
Practice address
403 Bethel Rd
Somers Point, NJ 08244-2108
Phone
(609) 927-8746
Fax
(609) 601-1406
NPI assigned
Dec 22, 2006
Last updated
Jan 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Dr. Michael A Piskun, MDNPI 1104869684
Title
Clinical Advisor
Phone
(609) 927-8746

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
Urology Physician 208800000X 25MA08050100 NJ Primary

Addresses

Primary practice location

403 Bethel Rd
Somers Point, NJ 08244-2108

Mailing address

403 Bethel Rd
Somers Point, NJ 08244-2108
Phone (609) 927-8746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070212000660 NJ Part B Supplier - Clinic/Group Practice 2264434703 Receives reassigned benefits from 19 practitioners
Practice locations: Galloway, NJ; Somers Point, NJ

National Provider Directory

National Provider Directory

Locations

712 E Bay Ave
Unit 19
Manahawkin, NJ 08050
Phone (609) 927-8746

239 Hurffville Crosskeys Rd
Ste 380
Sewell, NJ 08080

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1190

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1225193162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BETHEL RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442108",
            "telephone_number": "609-927-8746",
            "fax_number": "609-653-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BETHEL RD",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442108",
            "telephone_number": "609-927-8746",
            "fax_number": "609-601-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY UROLOGY GROUP P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "PISKUN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL ADVISOR",
        "authorized_official_telephone_number": "609-927-8746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA08050100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.