Active NPI
New Jersey Urologic Institute P.a.
- Urology Physician
- Eatontown, NJ
National Provider Identifier
1922086313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- NEW JERSEY UROLOGIC INSTITUTE P.A.
- Practice address
- 10 Industrial Way E Ste 101
Eatontown, NJ 07724-3332 - Phone
- (732) 963-9091
- Fax
- (732) 963-9092
- NPI assigned
- Jan 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ira G Keselman, MD
- Title
- Managing Partner
- Phone
- (732) 963-9091
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
10 Industrial Way E Ste 101
Eatontown, NJ 07724-3332
Mailing address
10 Industrial Way E
Ste 101
Eatontown, NJ 07724-3332
Phone (732) 963-9091
Other names 1
- Shore Urology, P.A.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0115021 | New Jersey Urologic Institute | Provider-performed microscopy | Mar 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
279 3rd Ave
Ste 101
Long Branch, NJ 07740
Phone (732) 222-2111
25 Kilmer Dr
Ste 214
Morganville, NJ 07751
Phone (732) 536-8880
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Eatontown, NJ
- NPI 1851454862
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Poughkeepsie, NY
- NPI 1396791000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619481600000",
"number": "1922086313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 INDUSTRIAL WAY E",
"address_2": "STE 101",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077243332",
"telephone_number": "732-963-9091",
"fax_number": "732-963-9092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 INDUSTRIAL WAY E STE 101",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077243332",
"telephone_number": "732-963-9091",
"fax_number": "732-963-9092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW JERSEY UROLOGIC INSTITUTE P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-05",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A",
"authorized_official_last_name": "KESELMAN",
"authorized_official_first_name": "IRA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "732-963-9091",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shore Urology, P.A.",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Shore Urology, P.A.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.