INNOVATIVE UROLOGY PRACTICE OF NEW YORK, PLLC
NPI 1659782589
Urology in Rego Park, NY

Active since May 14, 2014
92-29 QUEENS BLVD., SUITE 2B, REGO PARK, NY 11374(718) 606-6912(718) 606-6914 Get Directions Write a Review

NPPES record last updated: July 28, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Urology

About INNOVATIVE UROLOGY PRACTICE OF NEW YORK, PLLC

This page provides the complete NPI Profile along with additional information for Innovative Urology Practice Of New York, Pllc, a provider established in Rego Park, New York operating as a Urology. The healthcare provider is registered in the NPI registry with number 1659782589 assigned on May 2014. The practitioner's primary taxonomy code is 208800000X with license number 248604 (NY). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Andrew I Fishman M.d. (Owner)

NPI
1659782589 Verify this NPI
Provider Name
INNOVATIVE UROLOGY PRACTICE OF NEW YORK, PLLC
Entity Type
Organization
Location Address
92-29 QUEENS BLVD. SUITE 2B REGO PARK, NY 11374
Location Phone
(718) 606-6912
Location Fax
(718) 606-6914
Mailing Address
92-29 QUEENS BLVD. SUITE 2B REGO PARK, NY 11374
Mailing Phone
(718) 606-6912
Mailing Fax
(718) 606-6914
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2014
Last Update Date
07-28-2014
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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.
248604
License State
NY
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ANDREW I FISHMAN M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(516) 455-1170

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Urology
92-29 QUEENS BLVD., SUITE 2B
REGO PARK, NY 11374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659782589, enumerated as an "organization" on May 14, 2014.

The provider is located at 92-29 QUEENS BLVD. SUITE 2B REGO PARK, NY 11374 and the phone number is (718) 606-6912.

Urology with taxonomy code 208800000X.