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UROLOGIC SPECIALTIES PA
NPI 1154403418
Urology in Englewood, NJ

Active since October 19, 2006CLIA 31D0112337 · Waiver
177 NORTH DEAN ST, SUITE 305, ENGLEWOOD, NJ 07631(201) 569-7777(201) 569-6861 Get Directions Write a Review

NPPES record last updated: September 7, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Urologic Specialties Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UROLOGIC SPECIALTIES PA (NPI 1154403418) is a healthcare organization registered as an urology in Englewood, New Jersey and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 30, 2026 and lists Michele M. Rasmussen, Manager, as its authorized official.

NPPES Registry Identity

NPI1154403418
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameUROLOGIC SPECIALTIES PA
Location Address177 NORTH DEAN ST, SUITE 305Englewood, NJ 07631
Mailing Address177 North Dean St, Suite 305Englewood, NJ 07631 · (201) 569-7777 · Fax (201) 569-6861
Phone(201) 569-7777
Fax(201) 569-6861
Organization SubpartNo
Authorized OfficialMichele M. RasmussenManager · (201) 569-7777
Enumeration DateOctober 19, 2006
Last NPPES UpdateSeptember 7, 2010
✔ NPI 1154403418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
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.
177 NORTH DEAN ST, Englewood, NJ 07631
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Other Identifiers 1

Medicare ID-Type Unspecified526418NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0112337

Urologic Specialties PA · Englewood, NJ
Active · expires Dec 30, 2026
CLIA Number31D0112337
Laboratory TypePhysician Office
Certificate Effective DateDecember 31, 2024
Certificate Expiration DateDecember 30, 2026
Laboratory DirectorDr. Richard Lee
Laboratory Phone(201) 569-7777
Laboratory LocationUrologic Specialties PA177 North Dean Street, 3rd Floor Suite 305, Englewood, NJ 07631
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Urologic Specialties PA's NPI number?

The NPI number for Urologic Specialties PA is 1154403418. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Urologic Specialties PA located?

Urologic Specialties PA is located at 177 North Dean St Suite 305, Englewood, NJ 07631. The listed phone number is (201) 569-7777.

What is Urologic Specialties PA's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Urologic Specialties PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0112337) is associated with this NPI, valid through December 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Urologic Specialties PA was last updated on September 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.