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PEDIATRIC UROLOGY ASSOCIATES OF NEW JERSEY PC NPI 1013295245


NPI Information

NPI: 1013295245
Provider Name: PEDIATRIC UROLOGY ASSOCIATES OF NEW JERSEY, PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
350 ENGLE ST
SUITE 5N
ENGLEWOOD, NJ
ZIP 07631
Phone: (201) 894-3690
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PEDIATRIC UROLOGY ASSOCIATES OF NEW JERSEY, PC is a specialist in Englewood, NJ. The provider is 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. PEDIATRIC UROLOGY ASSOCIATES OF NEW JERSEY, PC NPI is 1013295245. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

350 ENGLE ST
SUITE 5N
ENGLEWOOD, NJ
ZIP 07631-808
Phone: (201) 894-3690

The provider's authorized official is Edward Reda .
The authorized official title is President and has the following contact phone number (914) 962-8290.

The enumeration date for this NPI number is 7/21/2011 and was last updated on 7/21/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist25MA06137500NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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