Active NPI
Urology for Children
- Specialist
- Willow Grove, PA
National Provider Identifier
1619167459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- UROLOGY FOR CHILDREN
- Practice address
- 2701 Blair Mill Rd
Ste 6
Willow Grove, PA 19090-1041 - Phone
- (215) 707-6469
- Fax
- (856) 751-9133
- NPI assigned
- Jul 27, 2007
- Organization subpart
- Yes
- Parent organization
- UROLOGY FOR CHILDREN
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelley Cohan
- Title
- Office Manager
- Phone
- (856) 751-7880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2701 Blair Mill Rd
Ste 6
Willow Grove, PA 19090-1041
Mailing address
2701 Blair Mill Rd
Suite 6
Willow Grove, PA 19090-1041
Phone (856) 751-7880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871584101 | Medicaid | PA | |
| 8699607 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Part of
- Urology for Children LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Voorhees, NJ
- NPI 1447226139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185494400000",
"number": "1619167459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 BLAIR MILL RD",
"address_2": "SUITE 6",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901041",
"telephone_number": "856-751-7880",
"fax_number": "856-751-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 BLAIR MILL RD",
"address_2": "STE 6",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901041",
"telephone_number": "215-707-6469",
"fax_number": "856-751-9133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY FOR CHILDREN",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UROLOGY FOR CHILDREN",
"enumeration_date": "2007-07-27",
"last_updated": "2007-07-27",
"status": "A",
"authorized_official_last_name": "COHAN",
"authorized_official_first_name": "KELLEY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "856-751-7880"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871584101",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8699607",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.