NPIMap

Organization Active NPI

Lakewood Urology Limited Liability Company

  • Non-Pharmacy Dispensing Site
  • Toms River, NJ
National Provider Identifier
1295513273
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
LAKEWOOD UROLOGY LIMITED LIABILITY COMPANY
Practice address
780 Route 37 W Ste 235
Toms River, NJ 08755-5065
Phone
(732) 286-6644
Fax
(732) 286-9321
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Mr. Moazam Gazi
Title
Ceo
Phone
(609) 838-9941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

780 Route 37 W Ste 235
Toms River, NJ 08755-5065

Mailing address

1374 Whitehorse Hamilton Square Rd Ste 101
Hamilton, NJ 08690-3701
Phone (609) 581-5900

Other names 1

  • University Urology Associates of New Jersey Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2228201University Urology Associates of New Jersey780 Route 37 West, Toms River, NJ 08755ComplianceJul 1, 2026

National Provider Directory

National Provider Directory

Locations

1374 Whitehorse Hamilton Square Rd
Ste 101
Trenton, NJ 08690
Phone (609) 581-5900

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1295513273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1374 WHITEHORSE HAMILTON SQUARE RD STE 101",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903701",
            "telephone_number": "609-581-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 ROUTE 37 W STE 235",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555065",
            "telephone_number": "732-286-6644",
            "fax_number": "732-286-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD UROLOGY LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "GAZI",
        "authorized_official_first_name": "MOAZAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-838-9941",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Urology Associates of New Jersey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.