Organization Active NPI

Yevgas Precesion Services

  • Surgery Physician
  • Freehold, NJ
National Provider Identifier
1013447291
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MP00119800 Issued in NJ
Legal business name
YEVGAS PRECESION SERVICES
Practice address
901 W Main St
Freehold, NJ 07728-2537
Phone
(732) 742-5084
NPI assigned
Jun 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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

Authorized official

Name
Yevgeniya Dreizin, PA
Title
Owner
Phone
(732) 742-5084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 25MP00119800 NJ Primary

Addresses

Primary practice location

901 W Main St
Freehold, NJ 07728-2537

Mailing address

PO Box 151
Wickatunk, NJ 07765-0151
Phone (732) 742-5084

Other identifiers 1

IdentifierTypeStateIssuer
25MP00119800OtherNJLICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1013447291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "WICKATUNK",
            "state": "NJ",
            "postal_code": "077650151",
            "telephone_number": "732-742-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-742-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEVGAS PRECESION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "DREIZIN",
        "authorized_official_first_name": "YEVGENIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-742-5084",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MP00119800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "25MP00119800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.