William Kohlberg (NPI# 1063523892, PAC ID# 3274725189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1063523892 |
| PAC ID by PECOS | 3274725189 |
| Professional Enrollment ID | I20101011000987 |
| Full Name | William Kohlberg |
| Organization Legal Name | PREMIER UROLOGY ASSOCIATES LLC |
| Address |
2 Princess Rd 2j Lawrenceville NJ 08648-2320 |
| Phone Number | 6098951991 |
| Gender | M |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 1951445071 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310111 | CENTRASTATE MEDICAL CENTER |
| 310052 | OCEAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2 Princess Rd, 2j, Lawrenceville, NJ 08648-2320 | 6098951991 | PREMIER UROLOGY ASSOCIATES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 94% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 99% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 99% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 0% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 9% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 0% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | PREMIER UROLOGY ASSOCIATES LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan P Johnson | Dermatology | Premier Urology Associates LLC | 3311 Brunswick Pike, Lawrenceville, NJ 08648-2411 |
| Jamie Gray | Physician Assistant | Premier Urology Associates LLC | 1205 Langhorne Newtown Rd, Suite 104, Langhorne, PA 19047-1220 |
| Jennifer Rajan | Dermatology | Premier Urology Associates LLC | 1205 Langhorne Newtown Rd, Suite 104, Langhorne, PA 19047-1220 |
| Akira Yamamoto | Urology | Premier Urology Associates LLC | 825 Town Ctr Dr, Suite 150, Langhorne, PA 19047-1793 |
| Christopher Schaefer | General Surgery | Premier Urology Associates LLC | 1205 Langhorne Newtown Rd, Suite 104, Langhorne, PA 19047-1220 |
| Leah Kincaid | Dermatology | Premier Urology Associates LLC | 3311 Brunswick Pike, Lawrenceville, NJ 08648-2411 |
| Lusia S Yi | Dermatology | Premier Urology Associates LLC | 1205 Langhorne Newtown Rd, Suite 104, Langhorne, PA 19047-1220 |
| Ravi Rajan | Urology | Premier Urology Associates LLC | 1205 Langhorne Newtown Rd, Suite 104, Langhorne, PA 19047-1220 |
| Drew Hecht | Urology | Premier Urology Associates LLC | 1205 Langhorne Newtown Rd, Suite 104, Langhorne, PA 19047-1220 |
| Adam Kuehn | Pathology | Premier Urology Associates LLC | 2 Princess Rd, 2j, Lawrenceville, NJ 08648-2320 |
| Street Address |
2 PRINCESS RD 2J |
| City | LAWRENCEVILLE |
| State | NJ |
| Zip | 08648-2320 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bani A Sarma | Obstetrics/gynecology | Lifeline Medical Associates, LLC | 2 Princess Rd, Suite C, Lawrenceville, NJ 08648-2320 |
| Eugene S Gamburg | Obstetrics/gynecology | Lifeline Medical Associates, LLC | 2 Princess Rd, Suite C, Lawrenceville, NJ 08648-2320 |
| Seth G Derman | Obstetrics/gynecology | Lifeline Medical Associates, LLC | 2 Princess Rd, Suite C, Lawrenceville, NJ 08648-2320 |
| Jaimee C Kukla | Chiropractic | 2 Princess Rd, 2a, Lawrenceville, NJ 08648-2320 | |
| Rosemarie Cataldo | Psychologist, Clinical | 2 Princess Rd, 1g, Lawrenceville, NJ 08648-2320 | |
| Bruce R Pierce | Obstetrics/gynecology | Lifeline Medical Associates, LLC | 2 Princess Rd, Suite C, Lawrenceville, NJ 08648-2320 |
| Ursula Miguel | Certified Nurse Midwife (cnm) | Lifeline Medical Associates, LLC | 2 Princess Rd, Suite C, Lawrenceville, NJ 08648-2320 |
| Bevin J Nixon | Clinical Social Worker | 2 Princess Rd, Suite 2a, Lawrenceville, NJ 08648-2320 | |
| Shefali Goyal | Obstetrics/gynecology | Lifeline Medical Associates, LLC | 2 Princess Rd, Suite C, Lawrenceville, NJ 08648-2320 |
| Kenneth H Ung | Obstetrics/gynecology | Lifeline Medical Associates, LLC | 2 Princess Rd, Suite C, Lawrenceville, NJ 08648-2320 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie Weigel | Clinical Social Worker | 9 Gordon Ave, Lawrenceville, NJ 08648-1004 | |
| James A Dimattia | Chiropractic | 11 Gordon Ave, 1st Floor, Lawrenceville, NJ 08648-1004 | |
| Jennifer L Ditrapani | Clinical Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | |
| Kristina Rago-solomita | Clinical Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | |
| Kelly J Mcglynn | Clinical Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | |
| Elizabeth Alberts | Clinical Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | |
| Lizbeth A Smith | Nurse Practitioner | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | |
| Laura K Gever | Clinical Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | |
| Sari E Harris | Clinical Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | |
| Beth Smith | Clinical Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | |
| Find all physicians in zip 08648 | |||
| City | LAWRENCEVILLE |
| Zip Code | 08648 |
| Specialty | UROLOGY |
| City + Specialty | LAWRENCEVILLE + UROLOGY |
Please comment or provide details below to improve the information on William Kohlberg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.