NPIMap

Organization Active NPI

Urological Group of Union County PA

  • Urology Physician
  • Roselle, NJ
National Provider Identifier
1255436283
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGICAL GROUP OF UNION COUNTY PA
Practice address
776 E 3Rd Ave
Roselle, NJ 07203-1698
Phone
(908) 241-7800
Fax
(908) 241-8995
NPI assigned
Sep 14, 2006
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. Robert H Stackpole, M.D.
Title
President
Phone
(908) 241-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

776 E 3Rd Ave
Roselle, NJ 07203-1698

Mailing address

776 E 3Rd Ave
Roselle, NJ 07203-1698
Phone (908) 241-7800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255436283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 E 3RD AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031698",
            "telephone_number": "908-241-7800",
            "fax_number": "908-241-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 E 3RD AVE",
            "city": "ROSELLE",
            "state": "NJ",
            "postal_code": "072031698",
            "telephone_number": "908-241-7800",
            "fax_number": "908-241-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL GROUP OF UNION COUNTY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STACKPOLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-241-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, 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.