Empire Urology LLC

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

Legal business name

EMPIRE UROLOGY LLC

Practice address

349 E Northfield Rd Ste 202
Livingston, NJ 07039-4806

Phone

(973) 251-2055

Fax

(973) 251-2562

NPI assigned

Jan 4, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ron Samuel Israeli, MD

Title

Medical Director

Phone

(973) 251-2055

Specialties & licenses 1

Addresses

Other names 1

• Ron S Israeli MD Doing business as

Locations

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1922696228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 E NORTHFIELD RD STE 202",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394806",
            "telephone_number": "973-251-2055",
            "fax_number": "973-251-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 E NORTHFIELD RD STE 202",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394806",
            "telephone_number": "973-251-2055",
            "fax_number": "973-251-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "ISRAELI",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-251-2055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ron S Israeli MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Urology Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Pediatric Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.