NPIMap

Organization Active NPI

Atlantic Coast Urology,PA

  • Urology Physician
  • Neptune, NJ
National Provider Identifier
1265635627
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA63814 Issued in NJ
Legal business name
ATLANTIC COAST UROLOGY,PA
Practice address
1944 State Route 33
Suite 101
Neptune, NJ 07753-4862
Phone
(732) 775-8444
Fax
(732) 775-8550
NPI assigned
Jun 6, 2007
Last updated
Sep 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Matthew Steven Tobin, MDNPI 1366425332
Title
President
Phone
(732) 775-8444

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 25MA63814 NJ Primary

Addresses

Primary practice location

1944 State Route 33
Suite 101
Neptune, NJ 07753-4862

Mailing address

1944 Corlies Ave
Suite 101
Neptune, NJ 07753-4862
Phone (732) 775-8444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070921000007 NJ Part B Supplier - Clinic/Group Practice 1254425226 Receives reassigned benefits from 21 practitioners
Practice locations: Brick, NJ; Neptune, NJ

National Provider Directory

National Provider Directory

Locations

1944 State Route 33
Ste 101
Neptune, NJ 07753
Phone (732) 775-8444

Interoperability endpoints

  • Direct secure messaging: deanzimmermann@acuro.medalliesdirect.net
  • Direct secure messaging: matthewtobin@acuro.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1265635627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 CORLIES AVE",
            "address_2": "SUITE 101",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534862",
            "telephone_number": "732-775-8444",
            "fax_number": "732-775-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 STATE ROUTE 33",
            "address_2": "SUITE 101",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534862",
            "telephone_number": "732-775-8444",
            "fax_number": "732-775-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC COAST UROLOGY,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-775-8444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA63814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.