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

Victor Hartanto, MD

Individual provider Urology Physician · NPI 1376679639

Victor Hartanto, MD is an Urology in Midland Park, New Jersey. Graduated from New York University School of Medicine in 2003, 23 years ago. Practices with Urology Group PA, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
23
Trained at
New York University School of Medicine
Licensed in
NJ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4 Godwin Ave
Midland Park, NJ 07432
Phone: (201) 444-7070
Fax: (201) 444-7228
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MA068689 (NJ)

Record details

NPI number1376679639
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 23, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4 Godwin Avenue, Midland Park, NJ 07432

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Urology Group Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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