Organization Active NPI

Middletown Urologic Associates, P.C.

  • Ambulatory Surgical Clinic/Center
  • Middletown, NY
National Provider Identifier
1487910188
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MIDDLETOWN UROLOGIC ASSOCIATES, P.C.
Practice address
236 Crystal Run Rd
Suite 4
Middletown, NY 10941-4060
Phone
(845) 692-2200
Fax
(845) 673-1390
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Dr. David W Cohen, M.D.
Title
President
Phone
(845) 692-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NY Primary

Addresses

Primary practice location

236 Crystal Run Rd
Suite 4
Middletown, NY 10941-4060

Mailing address

236 Crystal Run Rd
Suite 4
Middletown, NY 10941-4060
Phone (845) 692-2200

National Provider Directory

National Provider Directory
Tax ID family
Middletown Urologic Associates PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 Edgewater Dr
Middletown, NY 10940
Phone 8453424774404

236 Crystal Run Rd
Ste 4
Middletown, NY 10941
Phone (845) 692-2200

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1487910188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 CRYSTAL RUN RD",
            "address_2": "SUITE 4",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414060",
            "telephone_number": "845-692-2200",
            "fax_number": "845-673-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 CRYSTAL RUN RD",
            "address_2": "SUITE 4",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414060",
            "telephone_number": "845-692-2200",
            "fax_number": "845-673-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN UROLOGIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-692-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.