Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boston Medical Group-New Jersey, PA

Organization Urology Physician · NPI 1578973392

Boston Medical Group-New Jersey, PA is an Urology Physician in Lyndhurst, New Jersey. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1050 Wall St W Ste 120
Lyndhurst, NJ 07071
Phone: (949) 200-6616
Fax: (949) 258-5076
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1578973392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Le — Medical Director · (818) 808-2828
NPI enumeratedMay 1, 2014
Last updated in NPPESMay 1, 2014
Mailing address23275 S Point Drive Suite 100, Laguna Hills, CA 92653