Urology & Sexual Health Institute, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA05925200 Issued in NJ

Legal business name

UROLOGY & SEXUAL HEALTH INSTITUTE, PA

Practice address

200 S Orange Ave
228
Livingston, NJ 07039-5817

Phone

(973) 322-0133

Fax

(973) 322-0134

NPI assigned

Oct 2, 2006

Last updated

Mar 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Drew Lasalle, M.D.NPI 1770676397

Title

President

Phone

(973) 322-0133

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, and the practitioner matching its NPPES authorized official.

• Michael Drew Lasalle, M.D.

  • Urology Physician
  • Livingston, NJ
  • NPI 1770676397
  Authorized official Same address or phone

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1437242138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE",
            "address_2": "228",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-322-0133",
            "fax_number": "973-322-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE",
            "address_2": "228",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395817",
            "telephone_number": "973-322-0133",
            "fax_number": "973-322-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY & SEXUAL HEALTH INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "LASALLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-322-0133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05925200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Annette Marie Vaccaro, LCSW
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• Specialist in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.