JERSEY UROLOGY GROUP P. A.
NPI 1225193162
Urology in Somers Point, NJ

Active since December 22, 2006CLIA 31D1056211 · Waiver
403 BETHEL RD, SOMERS POINT, NJ 08244(609) 927-8746(609) 601-1406 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jersey Urology Group P. A. NPPES

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

JERSEY UROLOGY GROUP P. A. (NPI 1225193162) is a healthcare organization registered as an urology in Somers Point, New Jersey and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Michael A Piskun, Clinical Advisor, as its authorized official.

NPPES Registry Identity

NPI1225193162
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameJERSEY UROLOGY GROUP P. A.
Location Address403 BETHEL RDSomers Point, NJ 08244-2108
Mailing Address403 Bethel RdSomers Point, NJ 08244-2108 · (609) 927-8746 · Fax (609) 653-8807
Fax(609) 601-1406
Organization SubpartNo
Authorized OfficialMichael A PiskunClinical Advisor · (609) 927-8746
Enumeration DateDecember 22, 2006
Last NPPES UpdateJanuary 9, 2014
✔ NPI 1225193162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NJ · 25MA08050100
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.
403 BETHEL RD, Somers Point, NJ 08244

Other Identifiers 1

Medicare UPIN106682

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jersey Urology Group P. A. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Jersey Urology Group P. A., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Urology
NPI 1912182189
403 BETHEL RD
Somers Point, NJ 08244
(609) 927-8746
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1063604239
403 BETHEL RD
Somers Point, NJ 08244
(609) 927-8746
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1104872167
403 BETHEL RD
Somers Point, NJ 08244
(609) 927-8746
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1235273848
1145 BEACON AVE STE A
Manahawkin, NJ 08050
(609) 597-1991
✔ PECOS✔ Accepts Medicare32 mi
Urology
NPI 1104869684
1145 BEACON AVE STE A
Manahawkin, NJ 08050
(609) 597-1991
✔ PECOS✔ Accepts Medicare32 mi
Urology
NPI 1083065643
5501 OLD YORK ROAD ALBERT EINSTEIN MEDICAL CENTER
Philadelphia, PA 19141
(215) 456-5140
✔ PECOS✔ Accepts Medicare57 mi
Interventional Radiology
NPI 1306233911
127 MAPLE AVE
Bala Cynwyd, PA 19004
(347) 543-9068
✔ PECOS59 mi
Urology
NPI 1063472017
263 FARMINGTON AVE UROLOGY
Farmington, CT 06030
(860) 679-4100
✔ PECOS✔ Accepts Medicare191 mi
Urology
NPI 1285803528
6 NORTHWESTERN DR STE 305
Bloomfield, CT 06002
(959) 895-9853
✔ PECOS✔ Accepts Medicare200 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 31D1056211

Jersey Urology Group PA · Galloway Township, NJ
Active · expires Mar 28, 2027
CLIA Number31D1056211
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorMichael J. Schutz
Laboratory Phone(609) 927-8746
Laboratory LocationJersey Urology Group PA314 Chris Gaupp Dr, Galloway Township, NJ 08205
CLIA data matches this NPI record on: 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 Jersey Urology Group P. A.'s NPI number?

The NPI number for Jersey Urology Group P. A. is 1225193162. It was assigned to this organization in the NPPES registry on December 22, 2006.

Where is Jersey Urology Group P. A. located?

Jersey Urology Group P. A. is located at 403 Bethel Rd, Somers Point, NJ 08244. The listed phone number is (609) 927-8746.

What is Jersey Urology Group P. A.'s specialty?

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

Is Jersey Urology Group P. A. enrolled in Medicare?

Yes. Jersey Urology Group P. A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jersey Urology Group P. A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Jersey Urology Group P. A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Urology (8) and Interventional Radiology (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jersey Urology Group P. A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1056211) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jersey Urology Group P. A. was last updated on January 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.