Innout Urology Home LLC
Organization Active NPI Skilled Nursing Facility · Stafford TWP, NJ
NPI 1982495412 · NPPES record last updated May 23, 2025
Key facts
- NPI
- 1982495412
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- INNOUT UROLOGY HOME LLC
- Practice address
- 601 Washington Ave Ste J1002
Stafford TWP, NJ 08050-2801 - Phone
- (888) 433-9360
- Fax
- (609) 355-4777
- NPI assigned
- May 14, 2025
- Organization subpart
- No
Authorized official
- Name
- Leo Ligon, APN
- Title
- President
- Phone
- (888) 433-9360
Practitioners 1
-
Leo Neil Ligon, APN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250911001310 | NJ | Part B Supplier - Clinic/Group Practice | 0345743837 |
Receives reassigned benefits from 1 practitioner Practice locations: Stafford TWP, NJ |
National Provider Directory
Locations
601 Washington Ave
Ste J1002
Stafford Twp, NJ 08050
Phone (888) 433-9360
601 Washington Ave
#J1002
Stafford Twp, NJ 08050
Phone (888) 433-9360
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes | ||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
601 Washington Ave Ste J1002
Stafford TWP, NJ 08050-2801
Mailing address
601 Washington Ave Ste J1002
Stafford TWP, NJ 08050-2801
Phone (888) 433-9360
Other providers in Stafford TWP, NJ
All providers in Stafford TWP, NJ · Skilled Nursing Facility in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.