Newark-Wayne Urology PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

NEWARK-WAYNE UROLOGY PLLC

Practice address

1202 Driving Park Ave
Suite 5
Newark, NY 14513-1057

Phone

(315) 359-2690

Fax

(315) 359-2128

NPI assigned

Jul 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ralph R. Madeb, M.D

Title

Physician

Phone

(315) 359-2690

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Smith, PA

  • Physician Assistant
  • Rochester, NY
  • NPI 1184720674
  NPD (past)

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1427361005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 DRIVING PARK AVE",
            "address_2": "SUITE 5",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131057",
            "telephone_number": "315-359-2690",
            "fax_number": "315-359-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 DRIVING PARK AVE",
            "address_2": "SUITE 5",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131057",
            "telephone_number": "315-359-2690",
            "fax_number": "315-359-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK-WAYNE UROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "MADEB",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "315-359-2690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Newark Wayne Community Hospital
• Newark Wayne Community Hospital
• Newark Wayne Community Hospital-Lab
• Newark-Arcadia Volunteer Ambulance, Inc.
• Newark-Wayne Community Hospital
• Roxane Nicholson, PT
• Nicole Harris
• Patricia Nogueira de Sa, MD
• Rachel E Norris, RD, CDN
• Northland Hearing Centers, Inc.

• Urology Physician in Newark, NY
• Providers in Newark, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.