ADVANCED UROLOGY ASSOCIATES ENTERPRISES (NPI# 1144834532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144834532 |
| Entity Type | Organization |
| Organization Name | ADVANCED UROLOGY ASSOCIATES ENTERPRISES |
| Practice Address |
525 Jack Martin Blvd Ste 304 Brick NJ 08724-7737 |
| Practice Telephone | 7328406606 |
| Practice Fax Number | 7328406601 |
| Mailing Telephone | 7328406606 |
| Mailing Fax Number | 7328406601 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | DR. MATTHEW TOBIN (DIRECTOR) |
| Authorized Official Telephone | 7328406606 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
525 JACK MARTIN BLVD STE 304 |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-7737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588635916 | James E Rotolo | Urology | 1696 Route 88, Brick, NJ 08724-3030 | 2006-02-01 |
| 1245213123 | Charles Edward Bellingham | Urology | 224 Jack Martin Blvd, Suite E4, Brick, NJ 08724-7772 | 2005-11-23 |
| 1215910286 | Coastal Urology Associates Pa | Urology | 446 Jack Martin Blvd, Brick, NJ 08724-7733 | 2005-11-23 |
| 1376917435 | James E. Rotolo, M.d., F.a.c.s., P.a. | Urology | 1696 Route 88, 1st Floor, Brick, NJ 08724-3030 | 2015-11-30 |
| 1659661338 | Mina Fam | Urology | 446 Jack Martin Blvd, Brick, NJ 08724 | 2011-04-14 |
| 1073619318 | Andrew L. Simon M.d., F.a.c.s, P.a. | Urology | 459 Jack Martin Blvd, Suite 3, Brick, NJ 08724-7724 | 2006-09-15 |
| 1992767388 | Andrew L. Simon | Urology | 459 Jack Martin Blvd, Suite 3, Brick, NJ 08724-7724 | 2006-04-03 |
| 1811971377 | John Robert Chapman | Urology | 446 Jack Martin Blvd, Brick, NJ 08724 | 2005-11-30 |
| 1447233416 | Gary Charles Linn | Urology | 446 Jack Martin Blvd, Brick, NJ 08724-7733 | 2005-11-23 |
| 1134102015 | Daniel Todd Burzon | Urology | 446 Jack Martin Blvd, Brick, NJ 08724-7733 | 2005-11-23 |
| Find all providers in BRICK | ||||
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| 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.