Active NPI
Yorktowne Urology, PC
- Clinical Medical Laboratory
- York, PA
National Provider Identifier
1972796068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- YORKTOWNE UROLOGY, PC
- Practice address
- 2350 Freedom Way
Suite 102
York, PA 17402-8261 - Phone
- (717) 741-9536
- Fax
- (717) 741-5509
- NPI assigned
- Aug 22, 2007
- 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
- Carolyn S Roggenbaum
- Title
- Practice Manager
- Phone
- (717) 741-9536
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | PA | Primary |
Addresses
Primary practice location
2350 Freedom Way
Suite 102
York, PA 17402-8261
Mailing address
2350 Freedom Way
Suite 102
York, PA 17402-8261
Phone (717) 741-9536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007713350009 | Medicaid | PA |
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 |
|---|---|---|---|
| 39D0685699 | Upmc Yorktowne Urology | Provider-performed microscopy | Dec 29, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- York, PA
- NPI 1255418885
-
- Urology Physician
- York, PA
- NPI 1023269073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187740800000",
"number": "1972796068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 FREEDOM WAY",
"address_2": "SUITE 102",
"city": "YORK",
"state": "PA",
"postal_code": "174028261",
"telephone_number": "717-741-9536",
"fax_number": "717-741-5509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 FREEDOM WAY",
"address_2": "SUITE 102",
"city": "YORK",
"state": "PA",
"postal_code": "174028261",
"telephone_number": "717-741-9536",
"fax_number": "717-741-5509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YORKTOWNE UROLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-22",
"last_updated": "2007-08-22",
"status": "A",
"authorized_official_last_name": "ROGGENBAUM",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "717-741-9536"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007713350009",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.