MERIDIAN MEDICAL GROUP-PEDIATRIC UROLOGY


Address: 1200 Jumping Brook Rd, Bldg 5, Neptune, NJ 07753-2634
Phone: 7329027000

MERIDIAN MEDICAL GROUP-PEDIATRIC UROLOGY (NPI# 1083164305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083164305
Entity Type Organization
Organization Name MERIDIAN MEDICAL GROUP-PEDIATRIC UROLOGY
Practice Address 1200 Jumping Brook Rd
Bldg 5
Neptune
NJ 07753-2634
Mailing Address 557 Cranbury Rd
Suite 4
East Brunswick
NJ 08816-5419
Practice Telephone 7329027000
Practice Fax Number 7324818464
Mailing Telephone 7326139144
Enumeration Date 2016-10-11
Last Update Date 2016-10-11
Authorized Official Name KENNETH SABLE (PRESIDENT AND TREASURER)
Authorized Official Telephone 7327764900
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2088P0231X Urology
Specialization: Pediatric Urology
Allopathic & Osteopathic Physicians

Office Location

Street Address 1200 JUMPING BROOK RD
BLDG 5
City NEPTUNE
State NJ
Zip Code 07753-2634

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144247081 Emily Ann Kullen Counselor 1200 Jumping Brook Rd, Bldg 5, Ste 201, Neptune, NJ 07753-2634 2006-07-16
1417469511 Jessica Marchese Counselor 1200 Jumping Brook Rd, Bldg 5, Ste 201, Neptune, NJ 07753-5939 2017-10-30
1174912877 Mallory Lacorte Counselor 1200 Jumping Brook Rd, Building 5, Suite 2, Neptune, NJ 07753-2634 2015-01-19
1316373319 Jaime F Maher Social Worker 1200 Jumping Brook Rd, Suite 201, Bldg #5, Neptune, NJ 07753-2634 2013-09-23
1164855656 Kathleen G Tannehill Social Worker 1200 Jumping Brook Rd, Suite 201, Bldg #5, Neptune, NJ 07753-2634 2013-08-20
1376896290 Meridian Health General Acute Care Hospital 1200 Jumping Brook Rd, Building 5, Suite 201-202, Neptune, NJ 07753-2634 2012-10-16
1487902391 Amanda Kay Preston Physician Assistant 1200 Jumping Brook Rd, Neptune, NJ 07753-2634 2012-08-27
1932347226 David R Arnold Registered Nurse 1200 Jumping Brook Rd, Building 5, Suite D, Neptune, NJ 07753-2634 2009-01-26
1629166780 Adriana Cordal Psychiatry & Neurology 1200 Jumping Brook Rd, Neptune, NJ 07753-2634 2006-10-11
1013935790 Jennifer Levine Nurse Practitioner 1200 Jumping Brook Rd, Bldg 5, Ste 201, Neptune, NJ 07753 2006-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255938361 Maryjoy Marzan Nurse Practitioner Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 2020-10-02
1174138952 Darlene Lupo Nurse Practitioner 72 Morris Ave, Neptune, NJ 07753 2020-09-09
1124645148 Charlotte Emily Parker Audiologist 3700 Nj-33, Suite 101, Neptune City, NJ 07753 2020-06-26
1023667896 Joseph Renninger Psychologist 2100 Route 33 Suite 9/10, Neptune, NJ 07753 2019-09-05
1952950800 Matthew Aaron Brigle Psychologist 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 2019-09-04
1285292110 Joseph F Mcnamara Nurse Practitioner 1945 Nj State Highway 33, Neptune, NJ 07753 2019-06-05
1679046601 Richard Valderas Penalosa Jr. Nurse Practitioner 409 Locust St, Neptune, NJ 07753 2019-01-02
1528539822 Neptune Rx LLC Pharmacy West Lake Pharmacy, 1828 West Lake Avenue, Neptune, NJ 07753 2018-12-12
1053880286 Hmh Hospitals Corporation Clinic/Center 1200 Jumping Brook Rd., Bldg 5, Ste 201, Neptune, NJ 07753 2018-11-16
1972084424 Melissa Hillebrecht Psychologist 2100 Nj-33 Suite 9-10, Neptune, NJ 07753 2018-08-23
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Taxonomy Information

Taxonomy Code 2088P0231X
Grouping Allopathic & Osteopathic Physicians
Classification Urology
Specialization Pediatric Urology

Taxonomy Definition

Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Notes: Source: American Academy of Pediatrics [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578117628 Nu-md Urology PC Urology 201 S Livingston Ave Ste 2f, Livingston, NJ 07039-4040 2019-07-27
1861453300 Elizabeth Reiley Urology 699 Teaneck Rd, Teaneck, NJ 07666-4244 2006-03-31
1447258637 Thomas Schumann Vates Urology 557 Cranbury Rd, Ste 4, East Brunswick, NJ 08816-5419 2005-07-12
1669872685 Moneer K. Hanna M.d. Urology 101 Old Short Hills Road, Suite 203, West Orange, NJ 07052 2014-08-27
1396033924 Terry W. Hensle, M.d., LLC Urology 699 Teaneck Rd, Teaneck, NJ 07666-4244 2011-07-18
1942511373 Charles William Concodora Urology 200 Bowman Dr Ste E360, Voorhees, NJ 08043-9603 2010-06-30
1952562019 Gina Cambareri Urology 201 Lyons Ave, L5, Newark, NJ 07112-2027 2008-06-21
1609087824 The Urology Group of Central New Jersey Urology 4 Auer Ct, Suites A&b, East Brunswick, NJ 08816-5826 2007-05-28
1184759458 Umdnj Rwj Pediatric Urology Surgery Urology 125 Paterson St, Suite 4100, New Brunswick, NJ 08901-1962 2007-02-23
1780736686 Urology for Children LLC Urology 200 Bowman Dr, Suite E360, Voorhees, NJ 08043-9623 2007-01-18
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Competitor

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City NEPTUNE
Zip Code 07753

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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