Organization Active NPI

Adult and Pediatric Urology Center

  • Urology Physician
  • Stoughton, MA
National Provider Identifier
1710030457
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ADULT AND PEDIATRIC UROLOGY CENTER
Practice address
966 Park St # B
Suite B3
Stoughton, MA 02072-3650
Phone
(781) 344-3506
Fax
(781) 341-4065
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Rekha Singh
Title
Office Manager
Phone
(781) 344-3506

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X MA Primary

Addresses

Primary practice location

966 Park St # B
Suite B3
Stoughton, MA 02072-3650

Mailing address

966 Park St # B
Suite B3
Stoughton, MA 02072-3650
Phone (781) 344-3506

Other identifiers 1

IdentifierTypeStateIssuer
9787704MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1710030457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 PARK ST # B",
            "address_2": "SUITE B3",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723650",
            "telephone_number": "781-344-3506",
            "fax_number": "781-341-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 PARK ST # B",
            "address_2": "SUITE B3",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723650",
            "telephone_number": "781-344-3506",
            "fax_number": "781-341-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND PEDIATRIC UROLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "REKHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-344-3506"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9787704",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.