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

Premier Urology Group LLC

Organization Specialist · NPI 1376866616

Premier Urology Group LLC is a Specialist in Old Bridge, New Jersey. Licensed in New Jersey. Registered with an NPI since 2010.

Licensed in
NJ
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3 Hospital Plz Ste 200
Old Bridge, NJ 08857-3093
Phone: (732) 679-2010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA05567600 (NJ)

Record details

NPI number1376866616
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Fand — Md · (732) 679-2010
NPI enumeratedMarch 1, 2010
Last updated in NPPESAugust 17, 2010
Mailing address3 Hospital Plz, Suite 200, Old Bridge, NJ 08857-3093

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