NPIMap

Organization Active NPI

Pagnani-Braga-Kimmel Urologic Assoc, P.a.

  • Specialist
National Provider Identifier
1538116660
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PAGNANI-BRAGA-KIMMEL UROLOGIC ASSOC, P.A.
Practice address
222 New Road Building 700
Central Park East
Linwood, NJ 08221
UM
Phone
(609) 653-4343
Fax
(609) 653-4716
NPI assigned
May 26, 2006
Last updated
Apr 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Mrs. Gail Marie Simerson
Title
Practice Manager
Phone
(609) 653-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

222 New Road Building 700
Central Park East
Linwood, NJ 08221
UM

Mailing address

222 New Road Building 700
Central Park East
Linwood, NJ 08221
UM
Phone (609) 653-4343

National Provider Directory

National Provider Directory

Locations

222 New Rd
Ste 700
Linwood, NJ 08221
Phone (609) 653-4343

229 Shore Rd
Somers Point, NJ 08244
Phone (609) 653-4343

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1538116660",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "222 NEW ROAD BUILDING 700",
            "address_2": "CENTRAL PARK EAST",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "08221",
            "telephone_number": "609-653-4343",
            "fax_number": "609-653-4176"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "222 NEW ROAD BUILDING 700",
            "address_2": "CENTRAL PARK EAST",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "08221",
            "telephone_number": "609-653-4343",
            "fax_number": "609-653-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAGNANI-BRAGA-KIMMEL UROLOGIC ASSOC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "SIMERSON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "609-653-4343",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.