Provider Demographics
NPI:1356685069
Name:APEX UROLOGY LLC
Entity Type:Organization
Organization Name:APEX UROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BABU
Authorized Official - Middle Name:V
Authorized Official - Last Name:SURYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-837-3096
Mailing Address - Street 1:670 N BEERS ST BLDG 2 STE 4
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1516
Mailing Address - Country:US
Mailing Address - Phone:732-837-3096
Mailing Address - Fax:732-837-3372
Practice Address - Street 1:670 N BEERS ST BLDG 2 STE 4
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1516
Practice Address - Country:US
Practice Address - Phone:732-837-3096
Practice Address - Fax:732-837-3372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-19
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03698300208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty