Provider Demographics
NPI:1073551479
Name:ASSOCIATES IN UROLOGY NORTH JERSEY PA
Entity Type:Organization
Organization Name:ASSOCIATES IN UROLOGY NORTH JERSEY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:P
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-616-8400
Mailing Address - Street 1:1777 HAMBURG TPKE
Mailing Address - Street 2:SUITE304
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-5211
Mailing Address - Country:US
Mailing Address - Phone:973-616-8400
Mailing Address - Fax:973-616-8485
Practice Address - Street 1:1777 HAMBURG TPKE
Practice Address - Street 2:SUITE304
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5211
Practice Address - Country:US
Practice Address - Phone:973-616-8400
Practice Address - Fax:973-616-8485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ619418Medicare ID - Type Unspecified