Organization Active NPI

Urology for Children LLC

  • Pediatric Urology Physician
  • Voorhees, NJ
National Provider Identifier
1780736686
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
25MA06825100 Issued in PA
Legal business name
UROLOGY FOR CHILDREN LLC
Practice address
200 Bowman Dr
Suite E360
Voorhees, NJ 08043-9623
Phone
(856) 751-7880
Fax
(856) 751-9133
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Dr. Gregory Dean, M.D.NPI 1447226139
Title
President
Phone
(856) 751-7880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2088P0231X 25MA06825100 PA Primary

Addresses

Primary practice location

200 Bowman Dr
Suite E360
Voorhees, NJ 08043-9623

Mailing address

200 Bowman Dr
Suite E360
Voorhees, NJ 08043-9623
Phone (856) 751-7880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161014000586 PA Part B Supplier - Clinic/Group Practice 1052609658 Receives reassigned benefits from 7 practitioners
Practice locations: Allentown, PA; Philadelphia, PA; Langhorne, PA; Jenkintown, PA; Bethlehem, PA; Abington, PA; Center Valley, PA
O20170222000045 NJ Part B Supplier - Clinic/Group Practice 1052609658 Receives reassigned benefits from 7 practitioners
Practice locations: Camden, NJ; Sewell, NJ; Voorhees, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0993610Urology for Children LLC200 Bowman Dr Suite E 360, Voorhees, NJ 08043Certificate of waiverMay 24, 2027

National Provider Directory

National Provider Directory

Locations

239 Hurffville Crosskeys Rd
Ste 360D
Sewell, NJ 08080
Phone (856) 374-4440

239 Hurffville Crosskeys Rd
Ste 180
Sewell, NJ 08080
Phone (732) 261-1127

239 Hurffville Crosskeys Rd
Ste 240
Sewell, NJ 08080

200 Bowman Dr
Ste E360
Voorhees, NJ 08043
Phone (856) 247-7600

200 Bowman Dr
Ste D
Voorhees, NJ 08043

280 Middletown Blvd
Ofc
Langhorne, PA 19047
Phone (856) 751-9133

180 Middletown Blvd
Langhorne, PA 19047

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1475539200000",
    "number": "1780736686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DR",
            "address_2": "SUITE E360",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439623",
            "telephone_number": "856-751-7880",
            "fax_number": "856-751-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DR",
            "address_2": "SUITE E360",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439623",
            "telephone_number": "856-751-7880",
            "fax_number": "856-751-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY FOR CHILDREN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-751-7880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": "PA",
            "license": "25MA06825100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.