Organization Active NPI

Urological Specialists of Southern New Jersey LLC

  • Urology Physician
  • Voorhees, NJ
National Provider Identifier
1821298852
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
NJ25MA4980700 Issued in NJ
Legal business name
UROLOGICAL SPECIALISTS OF SOUTHERN NEW JERSEY LLC
Practice address
2301 Evesham Road
Suite 508
Voorhees, NJ 08043
Phone
(856) 651-0500
Fax
(856) 651-0700
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Authorized official

Name
Dr. Jay L Bloch, MD
Title
Physician
Phone
(856) 651-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X NJ25MA4980700 NJ Primary

Addresses

Primary practice location

2301 Evesham Road
Suite 508
Voorhees, NJ 08043

Mailing address

2301 Evesham Road
Suite 508
Voorhees, NJ 08043
Phone (856) 651-0500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1821298852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 EVESHAM ROAD",
            "address_2": "SUITE 508",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043",
            "telephone_number": "856-651-0500",
            "fax_number": "856-651-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 EVESHAM ROAD",
            "address_2": "SUITE 508",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043",
            "telephone_number": "856-651-0500",
            "fax_number": "856-651-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL SPECIALISTS OF SOUTHERN NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "BLOCH",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-651-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "NJ",
            "license": "NJ25MA4980700",
            "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 Aug 31, 2010; 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.