OrganizationActive
Urologic Surgery, PC
NPI 1619972965 · Urology Physician · Bala Cynwyd, PA
Provider details
- NPI number
- 1619972965
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nancy Miller, Offce Manager(610) 667-3021
- License
- OS003582L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
301 E City Ave
Ste 210
Bala Cynwyd, PA 19004-1734
Phone: (610) 667-3020
Fax: (610) 667-1817
Street-level locationGet directions
Mailing address
301 E City Ave
Bala Cynwyd, PA 19004-1734
Registry dates
- Enumerated
- 2005-06-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.