Active NPI
Somerset Urological Associates, PA
- Urology Physician
- Somerville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 25MA05801700
- Legal business name
- SOMERSET UROLOGICAL ASSOCIATES, PA
- Practice address
- 72 W End Ave
Somerville, NJ 08876-1824 - Phone
- (908) 927-0300
- Fax
- (908) 707-4988
- NPI assigned
- Jun 23, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joel M Fischer, MD
- Title
- Secretary
- Phone
- (908) 927-0300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 25MA05801700 | NJ | Primary |
Addresses
Primary practice location
72 W End Ave
Somerville, NJ 08876-1824
Mailing address
72 W End Ave
Somerville, NJ 08876-1824
Phone (908) 927-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2946106 | Medicaid | NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0123862 | Somerset Urological Associates | Certificate of waiver | Jun 5, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Urology Physician
- Somerville, NJ
- NPI 1619997749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649276783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 W END AVE",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088761824",
"telephone_number": "908-927-0300",
"fax_number": "908-707-4988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 W END AVE",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088761824",
"telephone_number": "908-927-0300",
"fax_number": "908-707-4988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMERSET UROLOGICAL ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FISCHER",
"authorized_official_first_name": "JOEL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "908-927-0300",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NJ",
"license": "25MA05801700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2946106",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, NJ
- Somerset Psychological Group, PA
- Somerset Surgical Associates,LLC
- Somerset Surgical Specialists LLC (Somerset Surgical Specialists)
- Somerset Treatment Services
- Somerset Treatment Services, Inc.
- Somerset Valley Visiting Nurse Association Inc. (Community Visiting Nurse Service)
- Somerset Valley Visiting Nurse Association, Inc. (Community Care Hospice)
- Somerville Physical Therapy LLC
- Somerville Public Schools
- Jeffrey B Sommer, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.