Provider Demographics
NPI:1760869010
Name:NEW JERSEY UROLOGY LLC
Entity Type:Organization
Organization Name:NEW JERSEY UROLOGY LLC
Other - Org Name:UROLOGY CARE ALLIANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PLOTKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-896-2950
Mailing Address - Street 1:3131 PRINCETON PIKE
Mailing Address - Street 2:BLDG. 4, SUITE 212
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648
Mailing Address - Country:US
Mailing Address - Phone:609-896-2950
Mailing Address - Fax:609-896-2951
Practice Address - Street 1:859 TOWN CENTER DR
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1752
Practice Address - Country:US
Practice Address - Phone:215-750-6510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site