Active NPI
Matthew Urban, MD
- Otolaryngology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 125072980
- Practice address
- 1650 W Harrison St
Chicago, IL 60612-3800 - Phone
- (443) 926-4937
- NPI assigned
- Jun 19, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 125072980 | IL | Primary |
| Facial Plastic Surgery Physician | 207YS0123X | 25MA12016400 | NJ |
Addresses
Primary practice location
1650 W Harrison St
Chicago, IL 60612-3800
Mailing address
385 State Route 24
Ste 3K
Chester, NJ 07930-2910
Phone (908) 879-2222
Other practice location 1
385 State Route 24
Ste 3K
Chester, NJ 07930-2910
Phone (908) 879-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Drexel University College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Madison Ave
Morristown, NJ 07960-6136
Phone (908) 879-2222
385 State Route 24
Suite 3K
Chester, NJ 07930-2910
Phone (908) 879-2222
Hospital & facility affiliations
- Morristown Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 84 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Facial Plastics LLC | Otolaryngology | Current | Accepting new patients |
| New Jersey Plastic Surgery Center LLC | Current | Accepting new patients |
Locations
385 State Route 24
Ste 3K
Chester, NJ 07930
Phone (908) 879-2222
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.
-
- Facial Plastic Surgery Physician
- Chester, NJ
- NPI 1982456109
Otolaryngology
-
- Ambulatory Surgical Clinic/Center
- Chester, NJ
- NPI 1356159909
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1396239679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 STATE ROUTE 24",
"address_2": "STE 3K",
"city": "CHESTER",
"state": "NJ",
"postal_code": "079302910",
"telephone_number": "908-879-2222",
"fax_number": "283-205-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123800",
"telephone_number": "443-926-4937"
}
],
"practiceLocations": [
{
"address_1": "385 State Route 24",
"address_2": "Ste 3K",
"address_purpose": "LOCATION",
"city": "Chester",
"state": "NJ",
"postal_code": "079302910",
"country_code": "US",
"telephone_number": "908-879-2222",
"fax_number": "283-205-2239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "URBAN",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-19",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "125072980",
"primary": true
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "NJ",
"license": "25MA12016400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.
- 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.