Organization Active NPI

New Jersey Urologic Institute P.a.

  • Urology Physician
  • Eatontown, NJ
National Provider Identifier
1922086313
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
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

Updated by the provider on Apr 27, 2021

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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. Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0115021New Jersey Urologic Institute10 Industrial Way E, Eatontown, NJ 07724Provider-performed microscopyMar 21, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.