UMDNJ RWJ PEDIATRIC UROLOGY SURGERY


Address: 125 Paterson St, Suite 4100, New Brunswick, NJ 08901-1962
Phone: 7322357776

UMDNJ RWJ PEDIATRIC UROLOGY SURGERY (NPI# 1184759458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184759458
Entity Type Organization
Organization Name UMDNJ RWJ PEDIATRIC UROLOGY SURGERY
Practice Address 125 Paterson St
Suite 4100
New Brunswick
NJ 08901-1962
Mailing Address 66 W Gilbert St
Red Bank
NJ 07701
Practice Telephone 7322357776
Mailing Telephone 7322120051
Mailing Fax Number 7322120713
Enumeration Date 2007-02-23
Last Update Date 2008-02-08
Authorized Official Name AMY KLUGEWICZ (CREDENTIALING MANAGER)
Authorized Official Telephone 7322120051
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2088P0231X Urology
Specialization: Pediatric Urology
Allopathic & Osteopathic Physicians

Office Location

Street Address 125 PATERSON ST
SUITE 4100
City NEW BRUNSWICK
State NJ
Zip Code 08901-1962

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942293881 Stephen Wong Family Medicine 125 Paterson St, Suite 5100, New Brunswick, NJ 08901-1962 2005-08-25
1073121109 Abdul Khayyam Mohammed Student in an Organized Health Care Education/Training Program 125 Paterson St, New Brunswick, NJ 08901-1962 2020-07-15
1639796709 Sophia Rodriguez Genetic Counselor, MS 125 Paterson St, New Brunswick, NJ 08901-1962 2020-07-06
1477179216 Morgan Dunn Student in an Organized Health Care Education/Training Program 125 Paterson St, New Brunswick, NJ 08901-1962 2020-06-17
1568087419 Devika Sachdev Student in an Organized Health Care Education/Training Program 125 Paterson St, New Brunswick, NJ 08901-1962 2020-06-16
1174148027 Natalie M Dicenzo Student in an Organized Health Care Education/Training Program 125 Paterson St, New Brunswick, NJ 08901-1962 2020-06-16
1477172831 Alain Kaldany Student in an Organized Health Care Education/Training Program 125 Paterson St, New Brunswick, NJ 08901-1962 2020-04-15
1548899396 Abigail Brenda Bergman Student in an Organized Health Care Education/Training Program 125 Paterson St, New Brunswick, NJ 08901-1962 2020-04-03
1013545292 Benjamin Horowitz Student in an Organized Health Care Education/Training Program 125 Paterson St, New Brunswick, NJ 08901-1962 2020-04-01
1356979520 Jeremy Silver Student in an Organized Health Care Education/Training Program 125 Paterson St, New Brunswick, NJ 08901-1962 2020-04-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083242622 Daniel Kareem Haddad Student in an Organized Health Care Education/Training Program 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 2020-03-30
1922636588 Neil Anjan Basumallik Student in an Organized Health Care Education/Training Program Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 2020-03-30
1922636406 Naveena Lall Student in an Organized Health Care Education/Training Program Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 2020-03-30
1801444047 Swati Vijay Dhobale Student in an Organized Health Care Education/Training Program Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 2019-08-30
1962974329 Lauren Burgstresser Nurse Practitioner 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 2018-12-26
1851874291 Damon House Inc. Substance Abuse Rehabilitation Facility 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 2018-09-12
1245718204 Leah Dinardo Psychologist 61 Nichol Ave, New Brunswick, NJ 08901 2018-08-01
1730667130 Keshav Bhandari Student in an Organized Health Care Education/Training Program Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 2018-07-30
1942787486 Mehak Bassi Student in an Organized Health Care Education/Training Program 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 2018-07-27
1063908754 Oluwatoba Opeyemi Moninuola Student in an Organized Health Care Education/Training Program 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 2018-07-05
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Taxonomy Information

Taxonomy Code 2088P0231X
Grouping Allopathic & Osteopathic Physicians
Classification Urology
Specialization Pediatric Urology

Taxonomy Definition

Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Notes: Source: American Academy of Pediatrics [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578117628 Nu-md Urology PC Urology 201 S Livingston Ave Ste 2f, Livingston, NJ 07039-4040 2019-07-27
1861453300 Elizabeth Reiley Urology 699 Teaneck Rd, Teaneck, NJ 07666-4244 2006-03-31
1447258637 Thomas Schumann Vates Urology 557 Cranbury Rd, Ste 4, East Brunswick, NJ 08816-5419 2005-07-12
1083164305 Meridian Medical Group-pediatric Urology Urology 1200 Jumping Brook Rd, Bldg 5, Neptune, NJ 07753-2634 2016-10-11
1669872685 Moneer K. Hanna M.d. Urology 101 Old Short Hills Road, Suite 203, West Orange, NJ 07052 2014-08-27
1396033924 Terry W. Hensle, M.d., LLC Urology 699 Teaneck Rd, Teaneck, NJ 07666-4244 2011-07-18
1942511373 Charles William Concodora Urology 200 Bowman Dr Ste E360, Voorhees, NJ 08043-9603 2010-06-30
1952562019 Gina Cambareri Urology 201 Lyons Ave, L5, Newark, NJ 07112-2027 2008-06-21
1609087824 The Urology Group of Central New Jersey Urology 4 Auer Ct, Suites A&b, East Brunswick, NJ 08816-5826 2007-05-28
1780736686 Urology for Children LLC Urology 200 Bowman Dr, Suite E360, Voorhees, NJ 08043-9623 2007-01-18
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Competitor

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City NEW BRUNSWICK
Zip Code 08901

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Dataset Information

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.

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