Active NPI
Stuart R. Jaffee, MD, Urology, Inc.
- Urology Physician
- Worcester, MA
National Provider Identifier
1821082561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- STUART R. JAFFEE, MD, UROLOGY, INC.
- Practice address
- 10 Winthrop St
Suite 319
Worcester, MA 01604-4435 - Phone
- (508) 755-5568
- NPI assigned
- Sep 8, 2005
- 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
- Stuart R Jaffee, MD
- Title
- President
- Phone
- (508) 755-5568
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MA | Primary |
Addresses
Primary practice location
10 Winthrop St
Suite 319
Worcester, MA 01604-4435
Mailing address
340 Main St
Suite 670
Worcester, MA 01608-1604
Phone (508) 754-3566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9756744 | Medicaid | MD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1821082561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 MAIN ST",
"address_2": "SUITE 670",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081604",
"telephone_number": "508-754-3566",
"fax_number": "508-798-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WINTHROP ST",
"address_2": "SUITE 319",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016044435",
"telephone_number": "508-755-5568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUART R. JAFFEE, MD, UROLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-08",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "JAFFEE",
"authorized_official_first_name": "STUART",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-755-5568",
"authorized_official_credential": "MD"
},
"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": "9756744",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.