Provider Demographics
NPI:1548335144
Name:UROLOGICAL ASSOCIATES OF CENTRAL JERSEY, P.A.
Entity type:Organization
Organization Name:UROLOGICAL ASSOCIATES OF CENTRAL JERSEY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:NOH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-756-1060
Mailing Address - Street 1:904 OAK TREE AVE
Mailing Address - Street 2:SUITE H
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-5126
Mailing Address - Country:US
Mailing Address - Phone:908-756-1060
Mailing Address - Fax:908-756-0027
Practice Address - Street 1:904 OAK TREE AVE
Practice Address - Street 2:SUITE H
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5126
Practice Address - Country:US
Practice Address - Phone:908-756-1060
Practice Address - Fax:908-756-0027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ696736Medicare ID - Type Unspecified