Active NPI
Saad S. Antoun, M.D.
- Urology Physician
- Holmdel, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 25MA03116400
- Practice address
- 733 N Beers St
Suite L 6
Holmdel, NJ 07733-1528 - Phone
- (732) 739-2200
- Fax
- (732) 739-8988
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Urology Physician
- Bloomfield, NJ
- NPI 1588822423
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101129000274 | NJ | Practitioner - Urology | 1557557808 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03116400 | NJ | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Urology LLC | Urology | Current |
Accepting new patients |
| Summit Medical Group, Inc | Past | Accepting new patients |
Locations
36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180
1515 Broad St
Ste B130
Bloomfield, NJ 07003
Phone (973) 842-2730
733 N Beers St
Ste L6
Holmdel, NJ 07733
Phone (732) 739-2200
2 Princess Rd
Ste 2J
Lawrenceville, NJ 08648
Phone (609) 895-1991
1103 W Sherman Ave
Ste 2B
Vineland, NJ 08360
Phone (856) 213-4035
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 25MA03116400 | NJ | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
733 N Beers St
Suite L 6
Holmdel, NJ 07733-1528
Mailing address
733 N Beers St
Suite L 6
Holmdel, NJ 07733-1528
Phone (732) 739-2200
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3025004 | Medicaid | NJ |
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | santoun10735@njurology.direct-ci.com | New Jersey Urology LLC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2021.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1386655348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "733 N BEERS ST",
"address_2": "SUITE L 6",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331528",
"telephone_number": "732-739-2200",
"fax_number": "732-739-8988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 N BEERS ST",
"address_2": "SUITE L 6",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331528",
"telephone_number": "732-739-2200",
"fax_number": "732-739-8988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTOUN",
"first_name": "SAAD",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "25MA03116400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3025004",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "santoun10735@njurology.direct-ci.com",
"affiliation": "Y",
"affiliationName": "New Jersey Urology LLC",
"address_1": "1515 Broad St",
"address_2": "Suite B130",
"city": "Bloomfield",
"state": "NJ",
"country_code": "US",
"postal_code": "070033002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.