Active NPI
Charles S Tomaszewski, M.D.
- Urology Physician
- Lakewood, NJ
National Provider Identifier
1295794642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 25MA07964400
- Practice address
- 1255 Highway 70
#33-S
Lakewood, NJ 08701-5900 - Phone
- (732) 364-1664
- Fax
- (732) 364-1667
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 21555 | AZ | |
| Urology Physician | 208800000X | 25MA07964400 | NJ | Primary |
Addresses
Primary practice location
1255 Highway 70
#33-S
Lakewood, NJ 08701-5900
Mailing address
1255 Highway 70
#33-S
Lakewood, NJ 08701-5900
Phone (732) 364-1664
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123391 | Medicaid | NJ | |
| 134544 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21555 | AZ | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stellar Medical Group | Urology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320796800000",
"number": "1295794642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 HIGHWAY 70",
"address_2": "#33-S",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015900",
"telephone_number": "732-364-1664",
"fax_number": "732-364-1667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 HIGHWAY 70",
"address_2": "#33-S",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015900",
"telephone_number": "732-364-1664",
"fax_number": "732-364-1667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMASZEWSKI",
"first_name": "CHARLES",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2011-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "21555",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "25MA07964400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0123391",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134544",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.