NPIMap

Organization Active NPI

Associated Northwest Urology

  • Urology Physician
  • Sharon, CT
National Provider Identifier
1861539728
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
019211 Issued in CT
Legal business name
ASSOCIATED NORTHWEST UROLOGY
Practice address
17 Hospital Hill Rd
Sharon, CT 06069-2010
Phone
(860) 364-0225
Fax
(860) 364-1736
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Jerome Karl Roth, M.D.
Title
President
Phone
(860) 364-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 019211 CT Primary

Addresses

Primary practice location

17 Hospital Hill Rd
Sharon, CT 06069-2010

Mailing address

PO Box 1736
17 Hospital Hill Rd
Sharon, CT 06069-1736
Phone (860) 364-0225

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1861539728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1736",
            "address_2": "17 HOSPITAL HILL RD",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060691736",
            "telephone_number": "860-364-0225",
            "fax_number": "860-364-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HOSPITAL HILL RD",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692010",
            "telephone_number": "860-364-0225",
            "fax_number": "860-364-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED NORTHWEST UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-364-0225",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CT",
            "license": "019211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.