Organization Active NPI

Urology Group of Princeton PA

  • Urology Physician
  • Princeton, NJ
National Provider Identifier
1851307300
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY GROUP OF PRINCETON PA
Practice address
281 Witherspoon St
Suite 100
Princeton, NJ 08540-3210
Phone
(609) 924-6487
Fax
(609) 921-7020
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Mr. Kenneth Mathiasen, MBA
Title
Administrator
Phone
(609) 924-6487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

281 Witherspoon St
Suite 100
Princeton, NJ 08540-3210

Mailing address

281 Witherspoon St
Suite 100
Princeton, NJ 08540-3210
Phone (609) 924-6487

National Provider Directory

National Provider Directory

Locations

134 Stanhope St
Princeton, NJ 08540
Phone (609) 924-6487

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1851307300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 WITHERSPOON ST",
            "address_2": "SUITE 100",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403210",
            "telephone_number": "609-924-6487",
            "fax_number": "609-921-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 WITHERSPOON ST",
            "address_2": "SUITE 100",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403210",
            "telephone_number": "609-924-6487",
            "fax_number": "609-921-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY GROUP OF PRINCETON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "MATHIASEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "609-924-6487",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.