GARDEN STATE UROLOGY LLC NPI 1629231766

NPI Information

  • NPI: 1629231766
  • Provider Name: GARDEN STATE UROLOGY LLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 31D2243600
  • Address: 16 EDEN LN
    WHIPPANY, NJ
    ZIP 07981
  • Phone: (973) 240-2181

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NPI Details

GARDEN STATE UROLOGY LLC is an urology in Whippany, 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. GARDEN STATE UROLOGY LLC NPI is 1629231766. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16 EDEN LN
WHIPPANY, NJ
ZIP 07981-402
Phone: (973) 240-2181
Fax: (973) 947-9064

The provider's authorized official is Monica Roscoe .
The authorized official title is Manager and has the following contact phone number (973) 240-2181.

The CLIA number assigned to this NPI record is 31D2243600 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/9/2008 and was last updated on 10/10/2023.

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
1207ZP0105XPathologyClinical Pathology/Laboratory MedicineNo
22085R0001XRadiologyRadiation OncologyNo
3208800000XUrologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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