Individual provider Active NPI

Matthew Urban, MD

  • Otolaryngology Physician
  • Chicago, IL
National Provider Identifier
1396239679
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
125072980 Issued in IL
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

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508003624 NJ Practitioner - Plastic and Reconstructive Surgery 1052669033 Reassigns benefits to 1 organization

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
Urban Facial Plastics LLCGroup PAC ID 0143661181, 2 clinicians

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 Hospital, Morristown, NJ, CCN 310015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision84
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Facial Plastics LLC Otolaryngology CurrentSince Apr 2, 2024 Accepting new patients
New Jersey Plastic Surgery Center LLC CurrentSince Dec 27, 2024 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.