NEW JERSEY UROLOGY LLC
NPI 1588822423
Urology in Bloomfield, NJ
NPI Status: Active since May 28, 2008
Contact Information
1515 BROAD ST
SUITE B130
BLOOMFIELD, NJ
ZIP 07003
Phone: (973) 873-7000
Fax: (973) 743-8943
- Organization
- Urology
- Accepts Insurance
- CLIA Number: 31D2061765
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-25-2026
About NEW JERSEY UROLOGY LLC
This page provides the complete NPI Profile along with additional information for New Jersey Urology Llc, a provider established in Bloomfield, New Jersey operating as a Urology. The healthcare provider is registered in the NPI registry with number 1588822423 assigned on May 2008. The practitioner's primary taxonomy code is 208800000X with license number 25MA02050900 (NJ). The provider is registered as an organization and their NPI record was last updated 11 years ago. New Jersey Urology Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Victor Houtz (Chief Operating Officer)
- NPI
- 1588822423
- Provider Name
- NEW JERSEY UROLOGY LLC
- Entity Type
- Organization
- Location Address
- 1515 BROAD ST SUITE B130 BLOOMFIELD, NJ 07003
- Location Phone
- (973) 873-7000
- Location Fax
- (973) 743-8943
- Mailing Address
- 1515 BROAD ST SUITE B130 BLOOMFIELD, NJ 07003
- Mailing Phone
- (973) 873-7000
- Mailing Fax
- (973) 743-8943
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-28-2008
- Last Update Date
- 07-24-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 25MA02050900
- License State
- NJ
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2085R0001X | Allopathic & Osteopathic Physicians | Radiology | 25MA02050900 (NJ) |
| 2 | 291U00000X | Laboratories | Clinical Medical Laboratory | |
| 3 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Select by Medica Bronze $0 Copay PCP Visits - EPO
- Select by Medica Bronze Share - EPO
- Select by Medica Expanded Bronze Standard - EPO
- Select by Medica Gold $0 Copay PCP Visits - EPO
- Select by Medica Gold Share - EPO
- Select by Medica Gold Standard - EPO
- Select by Medica Silver $0 Copay PCP Visits - EPO
- Select by Medica Silver Share - EPO
- Select by Medica Silver Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D08754 | OTHER (01) | MEDICARE RAILROAD | |
| 6270570001 | MEDICARE NSC (07) | NJ | |
| 31D1104853 | OTHER (01) | CLIA | |
| 136043 | MEDICARE PIN (08) | NJ |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D2061765
- Facility Type
- Physician Office
- Certificate Effective Date
- December 26, 2024
- Certificate Expiration Date
- December 25, 2026
- Laboratory Director
- PATRICK CICCONE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to New Jersey Urology Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1588822423, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
BLOOMFIELD, NJ 07003
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588822423, enumerated as an "organization" on May 28, 2008.
The provider is located at 1515 BROAD ST SUITE B130 BLOOMFIELD, NJ 07003 and the phone number is (973) 873-7000.
Urology with taxonomy code 208800000X.
The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to verify.
