OrganizationActive
Fifth Avenue Urology
NPI 1770030652 · Surgery Physician · New York, NY
Provider details
- NPI number
- 1770030652
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mathew James, Billing Manager(631) 827-8159
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
4 E 76th St
New York, NY 10021-2676
Phone: (631) 827-8159
Street-level locationGet directions
Mailing address
4 E 76th St
New York, NY 10021-2676
Registry dates
- Enumerated
- 2016-09-08
- Last updated
- 2016-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.