Crescent Urological Care LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

25MA08256000 Issued in NJ

Legal business name

CRESCENT UROLOGICAL CARE LLC

Practice address

1205 Easton Ave
Suite 201
Somerset, NJ 08873-1672

Phone

(732) 325-0050

Fax

(732) 325-0071

NPI assigned

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

Mohammad Azeem Bhatti, M.D.NPI 1093788101

Title

President

Phone

(908) 331-3532

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Mohammad Azeem Bhatti, MD

  • Urology Physician
  • Somerset, NJ
  • NPI 1093788101
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1467622324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 EASTON AVE",
            "address_2": "SUITE 201",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731672",
            "telephone_number": "732-325-0050",
            "fax_number": "732-325-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 EASTON AVE",
            "address_2": "SUITE 201",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088731672",
            "telephone_number": "732-325-0050",
            "fax_number": "732-325-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT UROLOGICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "BHATTI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "AZEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-331-3532",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA08256000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel S Cowen, MD
• Michael P. Coyle Jr., M.D.
• CPL (Willow Creek) LLC (Willow Creek Rehabilitation and Care Center)
• CPL (Willow Creek) LLC (Willow Creek Rehabilitation & Care Center)
• Shenequa Crawley-Ojo
• Danielle Cromartie-Williams, MS, LPC
• Jamie Cronk, ATC
• Jaime Gail Crowley-Zalaket, PHD
• Jeniffer M Cruz
• Mildred B Cruz, APN

• Urology Physician in Somerset, NJ
• Providers in Somerset, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.