Provider Demographics
NPI:1255367082
Name:UROLOGY ASSOCIATES, PA
Entity type:Organization
Organization Name:UROLOGY ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-741-5923
Mailing Address - Street 1:595 SHREWSBURY AVE.
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702
Mailing Address - Country:US
Mailing Address - Phone:732-741-5923
Mailing Address - Fax:732-741-2759
Practice Address - Street 1:595 SHREWSBURY AVE
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4158
Practice Address - Country:US
Practice Address - Phone:732-741-5923
Practice Address - Fax:732-741-2759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2594307Medicaid
NJ113707400OtherUS DEPARTMENT OF LABOR
NJ5798078OtherAETNA PPO GROUP #
NJ0091289000OtherAMERIHEALTH GROUP #
NJ0034218OtherAETNA HMO GROUP #
NJCD2157OtherRAILROAD MEDICARE GROUP #
NJ191716Medicare PIN