Organization Active NPI

Urological Surgical Associates PA

  • Specialist
  • Edison, NJ
National Provider Identifier
1982638953
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA03473500 Issued in NJ
Legal business name
UROLOGICAL SURGICAL ASSOCIATES PA
Practice address
10 Parsonage Rd
Suite 118
Edison, NJ 08837-2429
Phone
(732) 494-9400
NPI assigned
Jul 10, 2006
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. Jerold Grubman, MDNPI 1043323181
Title
Delegated Official
Phone
(732) 494-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NJ
Specialist 174400000X 25MA03473500 NJ Primary
Specialist 174400000X 25MA04379500 NJ
Specialist 174400000X 25MA05771900 NJ
Specialist 174400000X 25MA07259700 NJ
Specialist 174400000X 25MA07737800 NJ
Specialist 174400000X 25MA06546400 NJ

Addresses

Primary practice location

10 Parsonage Rd
Suite 118
Edison, NJ 08837-2429

Mailing address

10 Parsonage Rd
Suite 118
Edison, NJ 08837-2429
Phone (732) 494-9400

Other identifiers 3

IdentifierTypeStateIssuer
0563141OtherNJAETNA HMO GROUP #
CB7278OtherNJRR MEDICARE GROUP #
8425965OtherNJAETNA PPO GROUP #

National Provider Directory

National Provider Directory

Locations

3 Hospital Plz
Ste 200
Old Bridge, NJ 08857
Phone (732) 360-0287

Practitioners & affiliated clinicians

Practitioners 2

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1982638953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PARSONAGE RD",
            "address_2": "SUITE 118",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372429",
            "telephone_number": "732-494-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PARSONAGE RD",
            "address_2": "SUITE 118",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372429",
            "telephone_number": "732-494-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "GRUBMAN",
        "authorized_official_first_name": "JEROLD",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "732-494-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA03473500",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA04379500",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA05771900",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07259700",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA07737800",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA06546400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO GROUP #",
            "identifier": "0563141",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "CB7278",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO GROUP #",
            "identifier": "8425965",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.