NPIMap

Organization Active NPI

Lawrenceville Urology PA

  • Urology Physician
  • Lawrenceville, NJ
National Provider Identifier
1477545705
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
LAWRENCEVILLE UROLOGY PA
Practice address
3120 Princeton Pike
1St Floor
Lawrenceville, NJ 08648-2306
Phone
(609) 895-1991
Fax
(609) 895-6996
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Theresa C Ryan, RN
Title
Office Manager
Phone
(609) 895-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

3120 Princeton Pike
1St Floor
Lawrenceville, NJ 08648-2306

Mailing address

3120 Princeton Pike
1St Floor
Lawrenceville, NJ 08648-2306
Phone (609) 895-1991

National Provider Directory

National Provider Directory

Locations

3120 Princeton Pike
Fl 1
Lawrenceville, NJ 08648
Phone (609) 890-2968

2 Princess Rd
Ste J
Lawrenceville, NJ 08648
Phone (609) 394-7999

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477545705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 PRINCETON PIKE",
            "address_2": "1ST FLOOR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482306",
            "telephone_number": "609-895-1991",
            "fax_number": "609-895-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 PRINCETON PIKE",
            "address_2": "1ST FLOOR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482306",
            "telephone_number": "609-895-1991",
            "fax_number": "609-895-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEVILLE UROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "609-895-1991",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.