Organization Active NPI

Downtown Urology LLC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1396057840
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
172581 Issued in NY
Legal business name
DOWNTOWN UROLOGY LLC
Practice address
121 Dekalb Ave
Suite 6 B (Maynard BLDG)
Brooklyn, NY 11201-5425
Phone
(718) 250-6880
Fax
(718) 250-8483
NPI assigned
Jul 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Authorized official

Name
Dr. Dhanan Jai Etwaru, MDNPI 1386619914
Title
Chairman
Phone
(718) 250-6880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 172581 NY Primary

Addresses

Primary practice location

121 Dekalb Ave
Suite 6 B (Maynard BLDG)
Brooklyn, NY 11201-5425

Mailing address

121 Dekalb Ave
Suite 6 B (Maynard BLDG)
Brooklyn, NY 11201-5425
Phone (718) 250-6880

National Provider Directory

National Provider Directory

Locations

121 DeKalb Ave
Ste 6
Brooklyn, NY 11201
Phone (718) 250-6880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1396057840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "address_2": "SUITE 6 B (MAYNARD BLDG)",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-250-6880",
            "fax_number": "718-250-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "address_2": "SUITE 6 B (MAYNARD BLDG)",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-250-6880",
            "fax_number": "718-250-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "ETWARU",
        "authorized_official_first_name": "DHANAN",
        "authorized_official_middle_name": "JAI",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "718-250-6880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "172581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.