KJELL A YOUNGREN MD, LLC (NPI# 1023589884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023589884 |
| Entity Type | Organization |
| Organization Name | KJELL A YOUNGREN MD, LLC |
| Practice Address |
290 Madison Ave Morristown NJ 07960-7400 |
| Practice Telephone | 9738890049 |
| Mailing Telephone | 9738890049 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |
| Authorized Official Name | LAURA KEENAN (MANAGER) |
| Authorized Official Telephone | 9738890049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA PROVIDER ID | 7788254 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Urology | Doing Business As Name - Organization |
| Street Address |
290 MADISON AVE |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960-7400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784353 | Hirsch & Ratakonda, Md Pa | Radiology | 290 Madison Ave, Morristown, NJ 07960-7400 | 2005-07-17 |
| 1841592433 | Jonathan Wang Do LLC | Clinic/Center | 290 Madison Ave, Suite 2a, Morristown, NJ 07960-7400 | 2010-12-02 |
| 1639308927 | Lindsay Jane Scoggins | Dentist | 290 Madison Ave, Morristown, NJ 07960-7400 | 2009-07-07 |
| 1366627028 | Angelo Del Priore Dpm | Podiatrist | 290 Madison Ave, Suite 3a, Morristown, NJ 07960-7401 | 2007-12-31 |
| 1659555613 | Morristown Oral & Maxillofacial Surgery Associates | Dentist | 290 Madison Ave, Morristown, NJ 07960-7400 | 2007-12-26 |
| 1699962464 | Kjell A. Youngren, M.d., P.C. | Urology | 290 Madison Ave, Bldg. 5, Morristown, NJ 07960-7400 | 2007-09-26 |
| 1679772644 | Lisa G Hochman, Md, LLC | Dermatology | 290 Madison Ave, Bldg 5, Morristown, NJ 07960-7400 | 2007-07-11 |
| 1467580142 | Jonathan A. Wang | Family Medicine | 290 Madison Ave, Suite #1, Morristown, NJ 07960-7400 | 2007-03-02 |
| 1386702868 | Kjell Andrew Youngren | Urology | 290 Madison Ave, Bldg 5, Morristown, NJ 07960-7400 | 2006-12-05 |
| 1669547071 | Vina H Isaac | Obstetrics & Gynecology | 290 Madison Ave, Building 2, Morristown, NJ 07960-7400 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326307877 | Anika Jahn Ackerman | Urology | 261 James St Ste 1a, Morristown, NJ 07960-6348 | 2012-05-03 |
| 1679664874 | Eugene L Kavanagh | Urology | 703 Mcfarland Street, Morristown, TN 37814 | 2006-09-27 |
| 1821078015 | Jose G Amador Jr | Urology | 421 No High St, Morristown, TN 37814-3884 | 2006-01-23 |
| 1831198118 | Kelly E Bewsey | Urology | 701 Mcfarland St, Morristown, TN 37814-3977 | 2005-07-19 |
| 1891798641 | Jack A Monnig | Urology | 2845 W Andrew Johnson Hwy, Morristown, TN 37814-3216 | 2005-05-24 |
| 1437410339 | Benjamin L Taylor | Urology | 261 James St Ste 1a, Morristown, NJ 07960-6348 | 2012-06-06 |
| 1699962464 | Kjell A. Youngren, M.d., P.C. | Urology | 290 Madison Ave, Bldg. 5, Morristown, NJ 07960-7400 | 2007-09-26 |
| 1386702868 | Kjell Andrew Youngren | Urology | 290 Madison Ave, Bldg 5, Morristown, NJ 07960-7400 | 2006-12-05 |
| 1588744338 | Morristown Urology Associates P A | Urology | 261 James St, Suite 1a, Morristown, NJ 07960-6392 | 2006-10-16 |
| 1336153311 | Philip A. Serbin | Urology | 701 Mcfarland St, Morristown, TN 37814-3977 | 2006-07-28 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 07960 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.