Organization Active NPI

Stuart D. Shoengold, M.D., P.a.

  • Urology Physician
  • Millburn, NJ
National Provider Identifier
1285794255
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA03340400 Issued in NJ
Legal business name
STUART D. SHOENGOLD, M.D., P.A.
Practice address
225 Millburn Ave
Suite 304
Millburn, NJ 07041-1737
Phone
(973) 218-9400
Fax
(973) 218-9420
NPI assigned
Dec 11, 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. Stuart D Shoengold, M.D.
Title
Physician
Phone
(973) 218-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 25MA03340400 NJ Primary

Addresses

Primary practice location

225 Millburn Ave
Suite 304
Millburn, NJ 07041-1737

Mailing address

225 Millburn Ave
Suite 304
Millburn, NJ 07041-1737
Phone (973) 218-9400

Other names 1

  • Essex Urology Associates Doing business as

National Provider Directory

National Provider Directory

Locations

50 Union Ave
Ste 306
Irvington, NJ 07111
Phone (973) 228-3000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285794255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE",
            "address_2": "SUITE 304",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-218-9400",
            "fax_number": "973-218-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MILLBURN AVE",
            "address_2": "SUITE 304",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411737",
            "telephone_number": "973-218-9400",
            "fax_number": "973-218-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART D. SHOENGOLD, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHOENGOLD",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "973-218-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA03340400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essex Urology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millburn, 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.