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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
Street Address |
1050 WALL STREET WEST, SUITE 120 |
City | LYNDHURST |
State | NJ |
Zip Code | 07071 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316504905 | Sarah West | Counselor | 1050 Well St West, Suite 310, Lyndhurst, NJ 07071 | 2019-05-20 |
1124588496 | Reed Next, Inc. | Clinic/Center | 1 Dekorte Park Plaza, Lyndhurst, NJ 07071 | 2019-03-22 |
1881181733 | Vein Care Associates of Nj Inc. | Specialist | 576 Valley Brook Ave., Suite 2, Lyndhurst, NJ 07071 | 2018-04-17 |
1952815789 | Michael Zakko | Acupuncturist | 480 Stuyvesant Ave, Lyndhurst, NJ 07071 | 2017-12-01 |
1083131544 | Core Surgery Center LLC | Clinic/Center | 256 Stuyvesant Avenue, Lyndhurst, NJ 07071 | 2017-08-25 |
1013446434 | Eva Pena | Counselor | 516 Valleybrook Ave., Lyndhurst, NJ 07071 | 2017-06-08 |
1962849935 | Guardian Intraoperative Neuromomitoring | Clinic/Center | 576 Valley Brook Ave, Lyndhurst, NJ 07071 | 2013-05-30 |
1568736106 | Metro Anesthesia Associates LLC | Specialist | 256 Stuyvesant Ave, Lyndhurst, NJ 07071 | 2012-02-29 |
1215235437 | Sanil Gandhi | Pharmacist | 321 Wilson Avenue, Lyndhurst, NJ 07071 | 2011-03-11 |
1487986246 | Faith Benford-bon0 | Counselor | 185 Tontine Ave, Lyndhurst, NJ 07071 | 2010-02-04 |
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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 |
---|---|---|---|---|
1285923615 | Nannan Thirumavalavan | Urology | 29001 Cedar Rd, Lyndhurst, OH 44124 | 2011-04-06 |
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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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.