Ian Atlas, M.D.
Individual provider Active NPI Urology Physician · Morristown, NJ
NPI 1285634352 · NPPES record last updated Oct 27, 2011
Key facts
- NPI
- 1285634352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- MA58005 (NJ)
- Practice address
- 261 James St
Suite 3a
Morristown, NJ 07960-6392 - Phone
- (973) 206-8282
- Fax
- (973) 599-1695
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA58005 | NJ | MD | Urology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MA58005 | NJ | Yes |
Addresses
Primary practice location
261 James St
Suite 3a
Morristown, NJ 07960-6392
Mailing address
PO Box 912
Whippany, NJ 07981-0912
Phone (973) 206-8282
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340008601 | Other | NJ | RAILROAD MC PROVIDER# |
| 0529325 | Other | NJ | AETNA PROVIDER ID |
| J21209 | Other | NJ | HEALTHNET |
| IS151 | Other | NJ | OXFORD PROVIDER ID |
| 1363735 | Other | NJ | UNITED HEALTHCARE |
| 1394680 | Other | NJ | CIGNA |
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All providers in Morristown, NJ · Urology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.