Adult & Pediatric Urology Center, PA
Organization Active NPI Urology Physician · Clifton, NJ
NPI 1477573996 · NPPES record last updated Sep 30, 2009
Key facts
- NPI
- 1477573996
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- License
- MA47849 (NJ)
- Legal business name
- ADULT & PEDIATRIC UROLOGY CENTER, PA
- Practice address
- 1033 Clifton Ave
Clifton, NJ 07013-3517 - Phone
- (973) 473-5700
- Fax
- (973) 473-3367
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Burton A Schlecker, M.D.
- Title
- Doctor
- Phone
- (973) 473-5700
Member organizations 1
Practitioners 1
-
Sharon Mei Mei Li, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | MA47849 | NJ | Yes |
Addresses
Primary practice location
1033 Clifton Ave
Clifton, NJ 07013-3517
Mailing address
1033 Clifton Ave
Clifton, NJ 07013-3517
Phone (973) 473-5700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA0533 | Other | NJ | RAILROAD MEDICARE GROUP# |
| 4555795 | Other | NJ | AETNA PPO GROUP# |
| 0113605000 | Other | NJ | AMERIHEALTH GROUP# |
| 0470398 | Other | NJ | AETNA HMO GROUP# |
NPI Registry JSON
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254268800000",
"number": "1477573996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133517",
"telephone_number": "973-473-5700",
"fax_number": "973-473-3367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 CLIFTON AVE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133517",
"telephone_number": "973-473-5700",
"fax_number": "973-473-3367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADULT & PEDIATRIC UROLOGY CENTER, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2009-09-30",
"status": "A",
"authorized_official_last_name": "SCHLECKER",
"authorized_official_first_name": "BURTON",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "973-473-5700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "NJ",
"license": "MA47849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP#",
"identifier": "CA0533",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO GROUP#",
"identifier": "4555795",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH GROUP#",
"identifier": "0113605000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO GROUP#",
"identifier": "0470398",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
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- Arlene Adrales
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All providers in Clifton, NJ · Urology Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.