Active NPI
David H. Koota, M.D.
- Urology Physician
- East Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 25MA06560100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Prostate resection | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA65601 | NJ | MD | Legal Medicine |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Urology LLC | Urology | Current | 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
- 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.
-
- Urology Physician
- Bloomfield, NJ
- NPI 1588822423
-
dba St. Elizabeth Physicians
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.