Nashoba Valley Urology, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

037036 Issued in MA

Legal business name

NASHOBA VALLEY UROLOGY, INC

Practice address

190 Groton Rd
Suite 230
Ayer, MA 01432-1124

Phone

(978) 772-5419

Fax

(978) 772-7006

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Amin Rathore

Title

President

Phone

(978) 772-5419

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1720031248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GROTON RD",
            "address_2": "SUITE 230",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321124",
            "telephone_number": "978-772-5419",
            "fax_number": "978-772-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GROTON RD",
            "address_2": "SUITE 230",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321124",
            "telephone_number": "978-772-5419",
            "fax_number": "978-772-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASHOBA VALLEY UROLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "RATHORE",
        "authorized_official_first_name": "AMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-772-5419",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "037036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9715959",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD",
            "identifier": "0028516",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM9560",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M12384",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "701713",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nashoba Valley Healthcare Group Inc
• Nashoba Valley Medical Center, a Steward Family Hospital, Inc
• Nashoba Valley Medical Center, a Steward Family Hospital, Inc
• Nashoba Valley Medical Center, a Steward Family Hospital, Inc.
• Nashoba Valley Surgical LLC
• Neurology Consulting and Diagnostics
• Martin Chukwukeluo Nwabueze, RPH
• Pennie Oake
• Peter Ofman, MD
• Michael Jonathan Older, M.D.

• All providers in Ayer, MA
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.