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NPI 1710012604ActiveOrganization· Urology· New Brunswick, NJ
Urology in New Brunswick, New Jersey, registered in NPPES in February 2007. The authorized official on file is Brenda Lawrence, Director Of Revenue Cycle. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710012604 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2007 |
| Last updated in NPPES | Jan 20, 2021 |
| Certified by provider | Jan 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
| Urology, Urogynecology and Reconstructive Pelvic Surgery | 2088F0040X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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