Organization Active NPI

Coastal Urology Associates, P.a.

  • Urology Physician
  • Elizabeth City, NC
National Provider Identifier
1649354168
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35250 Issued in NC
Legal business name
COASTAL UROLOGY ASSOCIATES, P.A.
Practice address
400 S Road St
Suite D-1
Elizabeth City, NC 27909-4920
Phone
(252) 331-2388
Fax
(252) 335-9969
NPI assigned
Oct 24, 2006
Last updated
Aug 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Joseph M Alvarez, M.D.NPI 1689623027
Title
President
Phone
(252) 331-2388

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)CodeLicenseStatePrimary
Urology Physician 208800000X 35250 NC Primary

Addresses

Primary practice location

400 S Road St
Suite D-1
Elizabeth City, NC 27909-4920

Mailing address

400 S Road St
Suite D-1
Elizabeth City, NC 27909-4920
Phone (252) 331-2388

National Provider Directory

National Provider Directory

Locations

400 S Road St
Ste D1
Elizabeth Cty, NC 27909
Phone (252) 331-2388

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1649354168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S ROAD ST",
            "address_2": "SUITE D-1",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094920",
            "telephone_number": "252-331-2388",
            "fax_number": "252-335-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S ROAD ST",
            "address_2": "SUITE D-1",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094920",
            "telephone_number": "252-331-2388",
            "fax_number": "252-335-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL UROLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-331-2388",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "35250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.