Advanced Urologic Care Associates, P.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MA62364 Issued in NJ

Legal business name

ADVANCED UROLOGIC CARE ASSOCIATES, P.C.

Practice address

443 Northfield Ave
Suite 201a
West Orange, NJ 07052-3093

Phone

(973) 324-0103

Fax

(973) 718-4611

NPI assigned

May 6, 2009

Last updated

May 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sean Christopher Egan, M.D.NPI 1164588711

Title

Owner and Physician

Phone

(973) 324-0103

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean Christopher Egan, M.D.

  • Urology Physician
  • West Orange, NJ
  • NPI 1164588711
  Authorized official Same address or phone

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1821222753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 NORTHFIELD AVE",
            "address_2": "SUITE 201A",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523093",
            "telephone_number": "973-324-0103",
            "fax_number": "973-718-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 NORTHFIELD AVE",
            "address_2": "SUITE 201A",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523093",
            "telephone_number": "973-324-0103",
            "fax_number": "973-718-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED UROLOGIC CARE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER AND PHYSICIAN",
        "authorized_official_telephone_number": "973-324-0103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "MA62364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.