Individual provider Active NPI

David H. Koota, M.D.

  • Urology Physician
  • East Brunswick, NJ
National Provider Identifier
1548367006
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA06560100 Issued in NJ
Practice address
579A Cranbury Rd Ste 105
East Brunswick, NJ 08816-5426
Phone
(732) 390-8700
Fax
(732) 390-8555
NPI assigned
Sep 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X MA65601 NJ
Urology Physician 208800000X 25MA06560100 NJ Primary

Addresses

Primary practice location

579A Cranbury Rd Ste 105
East Brunswick, NJ 08816-5426

Mailing address

212 Monroe Avenue
Belle Mead, NJ 08502
Phone (908) 431-0992

Other practice location 1

211 Courtyard Drive
Hillsborough, NJ 08844
Phone (908) 685-2138

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dkoota9974@njurology.direct-ci.com New Jersey Urology LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100416000407 NJ Practitioner - Urology 2567560881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Rochester School of Medicine and Dentistry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Floral Ave
New Providence, NJ 07974-1557

211 Courtyard Dr
Hillsborough, NJ 08844-4247

220 Hawthorne Village CT
East Stroudsburg, PA 18302-6679

3131 Princeton Pike Office Park
Suite 4
Lawrenceville, NJ 08648-2275

P O Box
95000 CL 4480
Philadelphia, PA 19195-4480

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Prostate resection16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA65601NJMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Urology LLC Urology CurrentSince Dec 1, 2019 Accepting new patients
Summit Medical Group, Inc Past Accepting new patients

Locations

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

1515 Broad St
Ste B130
Bloomfield, NJ 07003
Phone (973) 842-2730

579A Cranbury Rd
Ste 105
East Brunswick, NJ 08816
Phone (732) 390-8700

211 Courtyard Dr
Hillsborough, NJ 08844
Phone (908) 685-0080

2 Princess Rd
Ste 2J
Lawrenceville, NJ 08648
Phone (609) 895-1991

312 Applegarth Rd
Ste 209
Monroe Township, NJ 08831
Phone (609) 662-5218

10 Forrestal Rd S
Ste 209
Princeton, NJ 08540
Phone (609) 720-0032

1103 W Sherman Ave
Ste 2B
Vineland, NJ 08360
Phone (856) 213-4035

Interoperability endpoints

  • Direct secure messaging: dkoota9974@njurology.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1548367006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MONROE AVENUE",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "08502",
            "telephone_number": "908-431-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579A CRANBURY RD STE 105",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165426",
            "telephone_number": "732-390-8700",
            "fax_number": "732-390-8555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Courtyard Drive",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NJ",
            "postal_code": "08844",
            "country_code": "US",
            "telephone_number": "908-685-2138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOOTA",
        "first_name": "DAVID",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "MA65601",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA06560100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkoota9974@njurology.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "New Jersey Urology LLC",
            "address_1": "1515 Broad St",
            "address_2": "Suite B130",
            "city": "Bloomfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070033002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.