Arizona State Urology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ARIZONA STATE UROLOGY LLC

Practice address

6525 W Sack Dr Ste 201
Glendale, AZ 85308-7106

Phone

(602) 337-8500

Fax

(602) 337-8151

NPI assigned

Jun 27, 2019

Organization subpart

No

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

Authorized official

Name

Howard P TayNPI 1780668558

Title

Owner

Phone

(602) 337-8500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

• FHIR API: https://fhir4.healow.com/fhir/r4/GFJDAD

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Howard P Tay, MD

  • Urology Physician
  • Glendale, AZ
  • NPI 1780668558
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly Sarah Tay

  • Urology Physician
  • Glendale, AZ
  • NPI 1003378035
  Medicare reassignment Care Compare group NPD
• Saul Moroni Rivera, PA

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1821508938
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1508427667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 W SACK DR STE 201",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087106",
            "telephone_number": "602-337-8500",
            "fax_number": "602-337-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 W SACK DR STE 201",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087106",
            "telephone_number": "602-337-8500",
            "fax_number": "602-337-8151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6401 E Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852516078",
            "country_code": "US",
            "telephone_number": "602-337-8500",
            "fax_number": "602-337-8151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33423 N 32nd Ave Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850858874",
            "country_code": "US",
            "telephone_number": "602-337-8500",
            "fax_number": "602-337-8151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1661 E Camelback Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850163912",
            "country_code": "US",
            "telephone_number": "602-337-8500",
            "fax_number": "602-337-8151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARIZONA STATE UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "TAY",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-337-8500"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Urology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.