NPIMap

Organization Active NPI

Paul Pyo MD LLC

  • Urology Physician
  • Avenel, NJ
National Provider Identifier
1265860613
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA08498200 Issued in NJ
Legal business name
PAUL PYO MD LLC
Practice address
1166 Saint Georges Ave
Avenel, NJ 07001-1263
Phone
(732) 636-6113
Fax
(732) 636-1006
NPI assigned
Oct 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paul Pyo, MD
Title
Owner
Phone
(917) 880-8952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 25MA08498200 NJ Primary

Addresses

Primary practice location

1166 Saint Georges Ave
Avenel, NJ 07001-1263

Mailing address

1166 Saint Georges Ave
Avenel, NJ 07001-1263
Phone (732) 636-6113

National Provider Directory

National Provider Directory

Locations

1166 Saint Georges Ave
Avenel, NJ 07001
Phone (732) 636-6113

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1265860613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 SAINT GEORGES AVE",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011263",
            "telephone_number": "732-636-6113",
            "fax_number": "732-636-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 SAINT GEORGES AVE",
            "city": "AVENEL",
            "state": "NJ",
            "postal_code": "070011263",
            "telephone_number": "732-636-6113",
            "fax_number": "732-636-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL PYO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "PYO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-880-8952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA08498200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avenel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.