Active NPI
Fifth Avenue Urology
- Surgery Physician
- New York, NY
National Provider Identifier
1770030652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- FIFTH AVENUE UROLOGY
- Practice address
- 4 E 76TH St
New York, NY 10021-2676 - Phone
- (631) 827-8159
- NPI assigned
- Sep 8, 2016
- 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
- Mathew James
- Title
- Billing Manager
- Phone
- (631) 827-8159
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
4 E 76TH St
New York, NY 10021-2676
Mailing address
4 E 76TH St
New York, NY 10021-2676
National Provider Directory
National Provider Directory- Tax ID family
- Fifth Avenue Urology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urology Physician
- New York, NY
- NPI 1326595364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473292800000",
"number": "1770030652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 E 76TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 E 76TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212676",
"telephone_number": "631-827-8159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIFTH AVENUE UROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-08",
"last_updated": "2016-09-08",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "MATHEW",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "631-827-8159"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.