Provider Demographics
NPI:1972019289
Name:OO, PYE P (MD)
Entity Type:Individual
Prefix:
First Name:PYE
Middle Name:P
Last Name:OO
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 1:299 CHERRY HILL RD STE 104
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1124
Mailing Address - Country:US
Mailing Address - Phone:951-318-9157
Mailing Address - Fax:
Practice Address - Street 1:135 E MAXWELL ST STE 401
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-2617
Practice Address - Country:US
Practice Address - Phone:859-323-2663
Practice Address - Fax:859-257-0260
Is Sole Proprietor?:No
Enumeration Date:2017-12-21
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI70556207RN0300X
NJ25MA11501400207RN0300X
KYTP444207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology