PREMIER UROLOGY GROUP LLC
NPI 1376866616
Specialist in Old Bridge, NJ

Active since March 01, 2010
3 HOSPITAL PLZ, SUITE 200, OLD BRIDGE, NJ 08857(732) 679-2010 Get Directions Write a Review

NPPES record last updated: August 17, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Premier Urology Group Llc NPPES

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

PREMIER UROLOGY GROUP LLC (NPI 1376866616) is a healthcare organization registered as a specialist in Old Bridge, New Jersey and active in the NPI registry since March 2010. The organization lists Benjamin Fand, Md, as its authorized official.

NPPES Registry Identity

NPI1376866616
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePREMIER UROLOGY GROUP LLC
Location Address3 HOSPITAL PLZ, SUITE 200Old Bridge, NJ 08857-3093
Mailing Address3 Hospital Plz, Suite 200Old Bridge, NJ 08857-3093 · (732) 679-2010
Organization SubpartNo
Authorized OfficialBenjamin FandMd · (732) 679-2010
Enumeration DateMarch 1, 2010
Last NPPES UpdateAugust 17, 2010
NPI 1376866616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NJ · 25MA05567600
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 HOSPITAL PLZ, Old Bridge, NJ 08857

Other Identifiers 1

Medicare NSC6351110002NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Primary Care)
3 HOSPITAL PLZ, SUITE 409
OLD BRIDGE, NJ 08857
Specialist
3 HOSPITAL PLZ, SUITE 208
OLD BRIDGE, NJ 08857
Internal Medicine
3 HOSPITAL PLZ, SUITE 315
OLD BRIDGE, NJ 08857
Nurse Practitioner (Acute Care)
3 HOSPITAL PLZ
OLD BRIDGE, NJ 08857
Clinic/Center (Pain)
3 HOSPITAL PLZ, STE 309
OLD BRIDGE, NJ 08857
Specialist
3 HOSPITAL PLZ, SUITE 309
OLD BRIDGE, NJ 08857
Podiatrist (Foot & Ankle Surgery)
3 HOSPITAL PLZ, STE 314
OLD BRIDGE, NJ 08857
Internal Medicine (Cardiovascular Disease)
3 HOSPITAL PLZ, SUITE 417
OLD BRIDGE, NJ 08857

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 Premier Urology Group LLC's NPI number?

The NPI number for Premier Urology Group LLC is 1376866616. It was assigned to this organization in the NPPES registry on March 1, 2010.

Where is Premier Urology Group LLC located?

Premier Urology Group LLC is located at 3 Hospital Plz Suite 200, Old Bridge, NJ 08857. The listed phone number is (732) 679-2010.

What is Premier Urology Group LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Premier Urology Group LLC was last updated on August 17, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.