Provider Demographics
NPI:1013020189
Name:TERENS, WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:TERENS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2104
Mailing Address - Country:US
Mailing Address - Phone:908-273-4300
Mailing Address - Fax:
Practice Address - Street 1:570 SOUTH AVE E BLDG A
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-3266
Practice Address - Country:US
Practice Address - Phone:908-603-4200
Practice Address - Fax:908-497-1633
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05771900174400000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY38H681OtherEMPIRE BC/BS OF NY EDISON
NJMS185OtherOXFORD ID #
NJ0563097OtherAETNA HMO ID #
NY38H683OtherEMPIRE BC/BS OF NY OB
NJ340009414OtherRR MEDICARE ID #
NJ4302594OtherAETNA PPO ID #
NJ1099841OtherGHI PPO ID #
NJMS185OtherOXFORD ID #
NJF25277Medicare UPIN