PREMIER UROLOGY GROUP, LLC (NPI# 1891949855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891949855 |
| Entity Type | Organization |
| Organization Name | PREMIER UROLOGY GROUP, LLC |
| Practice Address |
10 Parsonage Rd Suite 118 Edison NJ 08837-2429 |
| Practice Telephone | 7329499400 |
| Mailing Telephone | 7329499400 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2009-03-06 |
| Authorized Official Name | BENJAMIN FAND (OFFICER) |
| Authorized Official Telephone | 7324949400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
10 PARSONAGE RD SUITE 118 |
| City | EDISON |
| State | NJ |
| Zip Code | 08837-2429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720049232 | Todd C Ryan | Orthopaedic Surgery | 10 Parsonage Rd, Fifth Floor, Suite 500, Edison, NJ 08837-2429 | 2006-04-01 |
| 1003416280 | Moyanda Pierre | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2020-10-28 |
| 1942839683 | Siji J Devasia | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2020-04-04 |
| 1396379269 | Christina Johanna Patskin | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2020-02-28 |
| 1346870284 | Taylor M Romano | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2020-01-20 |
| 1235777285 | Chandni Patel | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2019-12-19 |
| 1033675269 | Stephanie Rodriguez-acosta | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2019-02-12 |
| 1053889337 | Leanna A Haynes | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2018-11-05 |
| 1013482330 | Johanie Bayard | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2018-10-13 |
| 1629543335 | Ana Laura Garaicoa | Behavior Technician | 10 Parsonage Rd, Edison, NJ 08837-2429 | 2018-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787938 | Bonhamtown Pharmacy LLC | Pharmacy | 2853 Woodbridge Ave, Suite 8, Edison, NJ 08837 | 2020-10-12 |
| 1134783640 | Prathyusha Bala Lanka | Physical Therapist | 132 Evergreen Road, Edison, NJ 08837 | 2019-04-30 |
| 1801363049 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2500 Menlo Park Mall, Edison, NJ 08837 | 2018-10-25 |
| 1548796980 | Christina Iacuzio | Behavior Technician | 10 Parsonage Rd, Suite 318, Edison, NJ 08837 | 2017-05-04 |
| 1508250705 | Patrick Wong | Family Medicine | 10 Parsonage Rd Ste 410, Edison, NJ 08837 | 2015-03-25 |
| 1881035541 | Wright Medical Response LLC | Non-emergency Medical Transport (VAN) | 3181 Woodbridge Avenue, Edison, NJ 08837 | 2013-07-10 |
| 1073852216 | Edison Township Board of Education | Local Education Agency (LEA) | 312 Pierson Avenue, Edison, NJ 08837 | 2013-02-07 |
| 1184974578 | Rock M Olofernes | Occupational Therapist | 148 Safran Ave, Edison, NJ 08837 | 2012-09-13 |
| 1851601330 | Garden State Physicians | Family Medicine | 1002 Amboy Ave., Edison, NJ 08837 | 2010-10-18 |
| 1215259528 | Surgical Associates Middlesex County | Surgery | 2 Lincoln Ave Ste 402, Edison, NJ 08837 | 2010-02-28 |
| Find all providers in zip 08837 | ||||
| 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 |
|---|---|---|---|---|
| 1235558479 | Zein Khozaim Nakhoda | Urology | 10 Parsonage Rd Ste 104, Edison, NJ 08837-2429 | 2014-04-15 |
| 1134323595 | Arvind Mansukh Patel | Urology | 956 Amboy Av, Edison, NJ 08837-2810 | 2007-06-12 |
| 1346376407 | Arvind M Patel | Urology | 956 Amboy Ave, Edison, NJ 08837-2810 | 2007-02-25 |
| 1629156245 | Urology Care of Nj | Urology | 4 Progress St Ste A9, Edison, NJ 08820-1199 | 2006-11-01 |
| 1487684551 | Neil D. Sherman | Urology | 10 Parsonage Rd., Suite 118, Edison, NJ 08837 | 2006-07-04 |
| 1578782223 | Michael S Lasser | Urology | 10 Parsonage Rd, Suite 118, Edison, NJ 08837-2429 | 2007-04-24 |
| 1558492819 | Arvind M. Patel Md | Urology | 956 Amboy Ave, Edison, NJ 08837-2810 | 2007-03-08 |
| 1124174404 | Eugene J. Lind, M.d.p.a. | Urology | 1656 Oak Tree Rd, Edison, NJ 08820-2805 | 2007-01-26 |
| 1134293723 | Binod K Sinha | Urology | 4 Progress St Ste A9, Edison, NJ 08820-1199 | 2006-11-17 |
| 1811929094 | Eugene Jerome Lind | Urology | 1656 Oak Tree Rd, Edison, NJ 08820-2805 | 2006-07-07 |
| Find all providers in EDISON | ||||
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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.