Skip to content

Premier Urology Group LLC

NPI 1376866616ActiveOrganization· Specialist· Old Bridge, NJ

Specialist in Old Bridge, New Jersey, registered in NPPES in March 2010. The authorized official on file is Benjamin Fand, MD, Md.

Overview

NPI1376866616
StatusActive
Entity typeOrganization
NPI issuedMar 1, 2010
Last updated in NPPESAug 17, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X25MA05567600NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Specialist providers in Old Bridge

All Specialist providers in New Jersey →