Organization Active NPI

Urology for Children

  • Specialist
  • Willow Grove, PA
National Provider Identifier
1619167459
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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 CHILDRENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1871584101MedicaidPA
8699607MedicaidNJ

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.

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": []
}

Other providers in Willow Grove, PA

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.

Verify at the official NPI Registry.