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UROLOGY GROUP PA
NPI 1427012897
Urology in Midland Park, NJ

Active since April 13, 2006CLIA 31D0110154 · Certificate of Compliance
4 GODWIN AVENUE, MIDLAND PARK, NJ 07432(201) 444-7070(201) 444-7712 Get Directions Write a Review

NPPES record last updated: June 30, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Urology Group Pa NPPES

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

UROLOGY GROUP PA (NPI 1427012897) is a healthcare organization registered as an urology in Midland Park, New Jersey and active in the NPI registry since April 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 19, 2027 and lists Howard Lawrence Frey, President, as its authorized official.

NPPES Registry Identity

NPI1427012897
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameUROLOGY GROUP PA
Location Address4 GODWIN AVENUEMidland Park, NJ 07432
Mailing Address4 Godwin AvenueMidland Park, NJ 07432 · (201) 444-7070 · Fax (201) 444-7712
Phone(201) 444-7070
Fax(201) 444-7712
Organization SubpartNo
Authorized OfficialHoward Lawrence FreyPresident · (201) 444-7070
Enumeration DateApril 13, 2006
Last NPPES UpdateJune 30, 2010
✔ NPI 1427012897 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.
4 GODWIN AVENUE, Midland Park, NJ 07432
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Other Identifiers 10

Medicare UPING94354
Medicare UPINH79237
Medicaid8247901NJ
Medicaid8248001NJ
Medicaid195070301NJ
Medicare UPING37055
Medicare UPINA92200
Medicaid1126601NJ
Medicare UPIND07187
Medicare ID-Type Unspecified527672NJ

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)

Urology Group Pa 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 Urology Group PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Richard Baum, MD
Urology
NPI 1891838983
4 GODWIN AVENUE
Midland Park, NJ 07432
(201) 444-7070
✔ PECOS✔ Accepts MedicareSame address
Wayne Detorres, MD
Urology
NPI 1811039357
4 GODWIN AVENUE
Midland Park, NJ 07432
(201) 444-7070
✔ PECOS✔ Accepts MedicareSame address
Victor Hartanto, MD
Urology
NPI 1376679639
4 GODWIN AVENUE
Midland Park, NJ 07432
(201) 444-7070
✔ PECOS✔ Accepts MedicareSame address
Timothy Mackey, MD
Urology
NPI 1750426615
4 GODWIN AVENUE
Midland Park, NJ 07432
(201) 444-7070
✔ PECOS✔ Accepts MedicareSame address
Saurabh Agarwal, MD
Urology
NPI 1134292329
4 GODWIN AVE
Midland Park, NJ 07432
(201) 444-7070
✔ PECOS✔ Accepts Medicare0.6 mi
Alyssa Fitzsimmons, APN
Nurse Practitioner
NPI 1528773660
4 GODWIN AVE STE 1
Midland Park, NJ 07432
(201) 444-7070
✔ PECOS✔ Accepts Medicare0.8 mi
Amer Akmal, M.D.
Pathology
NPI 1164405510
703 MAIN ST DEPT. OF PATHOLOGY
Paterson, NJ 07503
(973) 754-2000
✔ PECOS✔ Accepts Medicare5.8 mi
James Bentley, M.D.
Pathology
NPI 1184673634
300 COLUMBUS CIR STE A
Edison, NJ 08837
(866) 909-7284
✔ PECOS✔ Accepts Medicare35 mi
Amjad Khan, MD
Pathology
NPI 1649272022
300 COLUMBUS CIR STE A
Edison, NJ 08837
(866) 909-7284
✔ PECOS✔ Accepts Medicare35 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 Compliance 31D0110154

Urology Group, PA · Midland Park, NJ
Active · expires Sep 19, 2027
CLIA Number31D0110154
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorAmjad Khan
Laboratory Phone(201) 444-7070
Laboratory LocationUrology Group, PA4 Godwin Avenue, Midland Park, NJ 07432
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Urology Group PA's NPI number?

The NPI number for Urology Group PA is 1427012897. It was assigned to this organization in the NPPES registry on April 13, 2006.

Where is Urology Group PA located?

Urology Group PA is located at 4 Godwin Avenue, Midland Park, NJ 07432. The listed phone number is (201) 444-7070.

What is Urology Group PA's specialty?

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

Is Urology Group PA enrolled in Medicare?

Yes. Urology Group PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Urology Group PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Urology Group PA. 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 (5), Pathology (3) and Nurse Practitioner (1). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Urology Group PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D0110154) is associated with this NPI, valid through September 19, 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 Urology Group PA was last updated on June 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.