Individual provider Active NPI

William Rudolph Collini, MD

  • Urology Physician
  • Newton, NJ
National Provider Identifier
1922008036
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA02546700 Issued in NJ
Practice address
181 High St
Newton, NJ 07860-1020
Phone
(973) 383-9898
Fax
(973) 383-9665
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 25MA02546700 NJ Primary

Addresses

Primary practice location

181 High St
Newton, NJ 07860-1020

Mailing address

181 High St
Newton, NJ 07860-1020
Phone (973) 383-9898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160621000691 NJ Order and Referring Only - UrologyPractitioner - Urology 0345381984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
William R. Collini, M.D., P.a. CurrentSince Nov 23, 2009 Accepting new patients
Atlantic Urgent Care, LLC PastSince Feb 12, 2013 Accepting new patients

Locations

181 High St
Newton, NJ 07860
Phone (973) 383-9898

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922008036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 HIGH ST",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601020",
            "telephone_number": "973-383-9898",
            "fax_number": "973-383-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 HIGH ST",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078601020",
            "telephone_number": "973-383-9898",
            "fax_number": "973-383-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINI",
        "first_name": "WILLIAM",
        "middle_name": "RUDOLPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA02546700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

Verify at the official NPI Registry.