BOSTON MEDICAL GROUP-NEW JERSEY, P.A.


Address: 1050 Wall Street West, Suite 120, Lyndhurst, NJ 07071
Phone: 9492006616

BOSTON MEDICAL GROUP-NEW JERSEY, P.A. (NPI# 1578973392) 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) 1578973392
Entity Type Organization
Organization Name BOSTON MEDICAL GROUP-NEW JERSEY, P.A.
Practice Address 1050 Wall Street West, Suite 120
Lyndhurst
NJ 07071
Mailing Address 23275 S Point Drive Suite 100
Laguna Hills
CA 92653
Practice Telephone 9492006616
Practice Fax Number 9492585076
Mailing Telephone 4435429241
Mailing Fax Number 4435429442
Enumeration Date 2014-05-01
Last Update Date 2014-05-01
Authorized Official Name MR. TOM L. LE (MEDICAL DIRECTOR)
Authorized Official Telephone 8188082828
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology Allopathic & Osteopathic Physicians

Office Location

Street Address 1050 WALL STREET WEST, SUITE 120
City LYNDHURST
State NJ
Zip Code 07071

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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285923615 Nannan Thirumavalavan Urology 29001 Cedar Rd, Lyndhurst, OH 44124 2011-04-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144834532 Advanced Urology Associates Enterprises Urology 525 Jack Martin Blvd Ste 304, Brick, NJ 08724-7737 2020-09-02
1922646132 Pierre Mendoza Md LLC Urology 9 Mule Rd Ste 5, Toms River, NJ 08755-5052 2019-12-18
1215579297 Jsmk Urology PC Urology 140 Sylvan Ave Ste 202, Englewood Cliffs, NJ 07632-2559 2019-10-11
1942854724 Braga Urologic LLC Urology 106 Court House South Dennis Rd Ste 201, Cape May Court House, NJ 08210-2126 2019-07-30
1043863848 Pedro R Paulino Urology 78 Highland St, Paterson, NJ 07524-1906 2019-07-20
1730683905 Urgent Specialists Nj LLC Urology 185 Hudson St, Jersey City, NJ 07311-1209 2018-03-21
1861942393 A E Feldman LLC Urology 125 Matthews Dr, Bedminster, NJ 07921-2624 2016-10-07
1033584057 Howard Leitner & Perlmutter Urologic Associates Urology 2401 State Route 35, Manasquan, NJ 08736-1158 2015-12-02
1124499041 Hunterdon Specialty Care, PC Urology 121 Highway 31, Suite 1200, Flemington, NJ 08822-5744 2015-10-19
1881089654 Chirag G Gordhan Urology 2401 E Evesham Rd Ste F, Voorhees, NJ 08043-9590 2015-03-30
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Competitor

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City LYNDHURST
Zip Code 07071

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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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