NPIMap

Organization Active NPI

Center for Advanced Urology

  • Urology Physician
  • Salem, NJ
National Provider Identifier
1598720443
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
CENTER FOR ADVANCED UROLOGY
Practice address
4 Bypass Road
Suite 103
Salem, NJ 08079
Phone
(856) 339-4466
Fax
(856) 339-6580
NPI assigned
Apr 20, 2006
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Stuart Marc Diamond, MDNPI 1174589709
Title
President
Phone
(856) 339-4466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

4 Bypass Road
Suite 103
Salem, NJ 08079

Mailing address

4 Bypass Road
Suite 103
Salem, NJ 08079
Phone (856) 339-4466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050418001073 NJ Part B Supplier - Clinic/Group Practice 8820036106 Receives reassigned benefits from 6 practitioners
Practice locations: Moorestown, NJ; Salem, NJ

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

703 E Main St
Ste C
Moorestown, NJ 08057
Phone (856) 339-4466

4 Bypass Rd
Ste 103
Salem, NJ 08079
Phone (856) 339-4453

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc33702_centerforadvancedurologysalem
  • Direct secure messaging: stuartdiamond@cfau.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 28

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 28

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1598720443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BYPASS ROAD",
            "address_2": "SUITE 103",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "08079",
            "telephone_number": "856-339-4466",
            "fax_number": "856-339-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BYPASS ROAD",
            "address_2": "SUITE 103",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "08079",
            "telephone_number": "856-339-4466",
            "fax_number": "856-339-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVANCED UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-339-4466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.