UROLOGY SPECIALTY CARE PA NPI 1790745396

NPI Information

  • NPI: 1790745396
  • Provider Name: UROLOGY SPECIALTY CARE PA
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 15-01 BROADWAY RT 4 WEST
    STE 1 & 3
    FAIR LAWN, NJ
    ZIP 07410
  • Phone: (201) 791-4544

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NPI Details

UROLOGY SPECIALTY CARE PA is an urology in Fair Lawn, 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. UROLOGY SPECIALTY CARE PA NPI is 1790745396. The provider is registered as an organization entity type.

The provider's business location address is:

15-01 BROADWAY RT 4 WEST
STE 1 & 3
FAIR LAWN, NJ
ZIP 07410
Phone: (201) 791-4544
Fax: (201) 791-4544

The provider's authorized official is John H Hajjar .
The authorized official title is Md and has the following contact phone number (201) 791-4544.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 4/26/2011.

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
1291U00000XClinical Medical LaboratoryNo
2207V00000XObstetrics & GynecologyNo
3207R00000XInternal MedicineNo
42085R0202XRadiologyDiagnostic RadiologyNo
52085R0001XRadiologyRadiation OncologyNo
6208800000XUrologyYes

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
11065640001MEDICARE NSCNEW JERSEY
2002881MEDICARE PINNEW JERSEY
37586205MEDICAIDNEW 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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