NEW JERSEY UROLOGY LLC NPI 1588822423

NPI Information

  • NPI: 1588822423
  • Provider Name: NEW JERSEY UROLOGY LLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 31D2061765
  • Address: 1515 BROAD ST
    SUITE B130
    BLOOMFIELD, NJ
    ZIP 07003
  • Phone: (973) 873-7000

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NPI Details

NEW JERSEY UROLOGY LLC is an urology in Bloomfield, NJ. The provider is 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. NEW JERSEY UROLOGY LLC NPI is 1588822423. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1515 BROAD ST
SUITE B130
BLOOMFIELD, NJ
ZIP 07003-002
Phone: (973) 873-7000
Fax: (973) 743-8943

The provider's authorized official is Victor Houtz .
The authorized official title is Chief Operating Officer and has the following contact phone number (973) 873-7000.

The CLIA number assigned to this NPI record is 31D2061765 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2008 and was last updated on 7/24/2015.

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
12085R0001XRadiologyRadiation Oncology25MA02050900NEW JERSEYNo
2291U00000XClinical Medical LaboratoryNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
4208800000XUrology25MA02050900NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D08754OTHERMEDICARE RAILROAD
26270570001MEDICARE NSCNEW JERSEY
331D1104853OTHERCLIA
4136043MEDICARE PINNEW JERSEY

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: 11/21/2025

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