Cambridge Urological Associates, Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CAMBRIDGE UROLOGICAL ASSOCIATES, INC

Practice address

790 Boston Rd
Billerica, MA 01821-5938

Phone

(617) 547-4400

Fax

(617) 576-1076

NPI assigned

Mar 27, 2013

Last updated

Mar 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roderick H Crocker Jr., MDNPI 1053310367

Title

President

Phone

(617) 547-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Roderick H Crocker Jr., MD

  • Urology Physician
  • Cambridge, MA
  • NPI 1053310367
  Authorized official Same address or phone

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1689917726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOUNT AUBURN ST",
            "address_2": "STE 519",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385600",
            "telephone_number": "617-547-4400",
            "fax_number": "617-576-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 BOSTON RD",
            "city": "BILLERICA",
            "state": "MA",
            "postal_code": "018215938",
            "telephone_number": "617-547-4400",
            "fax_number": "617-576-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE UROLOGICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-547-4400",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110067128A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Buxbaum, D.M.D.
• Yusufu Bwogi, RN
• Matthew W Callahan
• Meghan Callahan, OTR/L
• Cambridge Health Alliance
• Daniel Campbell
• Cardinal EMS
• Care Beyond Healthcare and Staffing Agency Inc
• Tiffany L Carlson, LPN
• Kalie Anne Cassidy

• Urology Physician in Billerica, MA
• Providers in Billerica, MA by specialty
• Urology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.