UROLOGY GROUP PA - NPI 1427012897 - Urology in Midland Park, NJ

Q: 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.

Q: What is Urology Group PA's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Urology Group PA was last updated on June 30, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

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.

Other Providers at the Same Location NPPES 5

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

VICTOR HARTANTO MD

Urology