Provider Demographics
NPI:1093884066
Name:ROY, ARUP KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARUP
Middle Name:KUMAR
Last Name:ROY
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 1:20 PAVILION RD
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4159
Mailing Address - Country:US
Mailing Address - Phone:856-489-8378
Mailing Address - Fax:856-489-8378
Practice Address - Street 1:301 SPRING GARDEN ROAD
Practice Address - Street 2:ANCORA STATE PSYCHIATRIC HOSPITAL
Practice Address - City:ANCORA
Practice Address - State:NJ
Practice Address - Zip Code:08037
Practice Address - Country:US
Practice Address - Phone:609-561-1700
Practice Address - Fax:609-567-7292
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA69569207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ03179C2BOtherMEDICARE BILLING NO.
NJH04661Medicare UPIN