Philadelphia Urology Associates PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

PHILADELPHIA UROLOGY ASSOCIATES PC

Practice address

1015 Chestnut St Ste 405
Philadelphia, PA 19107-4304

Phone

(215) 563-1199

Fax

(215) 563-1783

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Ethel Rosenberg

Title

Office Manager

Phone

(215) 563-1199

Specialties & licenses 2

Addresses

Other names 1

• Philadelphia Urology Associates, PC Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

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

Interoperability endpoints

• Direct secure messaging: brucesloane@philauro.medalliesdirect.net

Practitioners 3

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

• Bruce Bordman Sloane, MD

  • Urology Physician
  • Philadelphia, PA
  • NPI 1518954536
  Medicare reassignment NPD
• Shelley Ann Deluca Fink, PA-C

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1760738512
  NPD (past)
• Kristin Anne Kaercher, PA

  • Physician Assistant
  • Philadelphia, PA
  • NPI 1194014324
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1497700363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT ST STE 405",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074304",
            "telephone_number": "215-563-1199",
            "fax_number": "215-563-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT ST STE 405",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074304",
            "telephone_number": "215-563-1199",
            "fax_number": "215-563-1783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1503 Lansdowne Ave Ste 3011",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231330",
            "country_code": "US",
            "telephone_number": "484-494-0932",
            "fax_number": "484-494-5241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHILADELPHIA UROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2021-08-31",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-563-1199"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philadelphia Urology Associates, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philadelphia Supportive Living Solutions
• Philadelphia Supportive Living Solutions LLC
• Philadelphia Surgi Center, Inc.
• Philadelphia Surgical, LLC
• Philadelphia University
• Philadelphia Urosurgical Associates PC
• Philadelphia VA Clinic
• Philadelphia VA Medica Center
• Philadelphia VA Medical Center
• Philadelphia VA Medical Center

• Urology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.