Organization Active NPI

Genitourinary Surgeons of New Jersey PA

  • Legal Medicine
  • Hillsborough, NJ
National Provider Identifier
1881732162
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
25MA06560100 Issued in NJ
Legal business name
GENITOURINARY SURGEONS OF NEW JERSEY PA
Practice address
211 Courtyard Dr
Hillsborough, NJ 08844-4247
Phone
(908) 685-2138
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
David H. Koota, M.D.
Title
Partner
Phone
(908) 685-2138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 25MA06560100 NJ Primary

Addresses

Primary practice location

211 Courtyard Dr
Hillsborough, NJ 08844-4247

Mailing address

212 Monroe Ave
Belle Mead, NJ 08502-4635
Phone (908) 431-0992

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1881732162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MONROE AVE",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085024635",
            "telephone_number": "908-431-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 COURTYARD DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444247",
            "telephone_number": "908-685-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENITOURINARY SURGEONS OF NEW JERSEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "KOOTA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "908-685-2138",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NJ",
            "license": "25MA06560100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.