Organization Active NPI

Adult & Pediatric Urology of Hunterdon, PA

  • Urology Physician
  • Flemington, NJ
National Provider Identifier
1962534453
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MA72254 Issued in NJ
Legal business name
ADULT & PEDIATRIC UROLOGY OF HUNTERDON, PA
Doing business as
Adult & Pediatric Urology of Hunterdon, PA
Practice address
5 Walter Foran Blvd
Suite 4001
Flemington, NJ 08822-4678
Phone
(908) 751-5939
Fax
(908) 751-5938
NPI assigned
Mar 10, 2007
Last updated
Jul 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Ms. January Hummer
Title
Office Manager
Phone
(908) 751-5939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MA72254 NJ Primary

Addresses

Primary practice location

5 Walter Foran Blvd
Suite 4001
Flemington, NJ 08822-4678

Mailing address

5 Walter Foran Blvd
Suite 4001
Flemington, NJ 08822-4678
Phone (908) 751-5939

Other names 1

  • Adult & Pediatric Urology of Hunterdon, PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090115000480 NJ Part B Supplier - Clinic/Group Practice 0244393312 Receives reassigned benefits from 2 practitioners
Practice locations: Flemington, NJ; Hillsborough, NJ

National Provider Directory

National Provider Directory

Locations

1100 Wescott Dr
Ste G2
Flemington, NJ 08822
Phone (908) 237-1560

5 Walter E Foran Blvd
Ste 4001
Flemington, NJ 08822
Phone (908) 751-5939

105 Raider Blvd
Ste 202
Hillsborough, NJ 08844
Phone (908) 751-5939

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1962534453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WALTER FORAN BLVD",
            "address_2": "SUITE 4001",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224678",
            "telephone_number": "908-751-5939",
            "fax_number": "908-751-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WALTER FORAN BLVD",
            "address_2": "SUITE 4001",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224678",
            "telephone_number": "908-751-5939",
            "fax_number": "908-751-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT & PEDIATRIC UROLOGY OF HUNTERDON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "HUMMER",
        "authorized_official_first_name": "JANUARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-751-5939",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "MA72254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult & Pediatric Urology of Hunterdon, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.