Extracare NJ PC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

EXTRACARE NJ PC

Practice address

923 Haddonfield Rd Ste 300
Cherry Hill, NJ 08002-2752

Phone

(215) 309-8910

NPI assigned

Jun 24, 2024

Last updated

Jun 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric YahavNPI 1013156686

Title

Owner

Phone

(267) 816-3337

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Kfir Yahav, M.D.

  • Obstetrics & Gynecology Physician
  • Camden, NJ
  • NPI 1013156686
  NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1033953039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 HADDONFIELD RD STE 300",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022752",
            "telephone_number": "215-309-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 HADDONFIELD RD STE 300",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022752",
            "telephone_number": "215-309-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRACARE NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "YAHAV",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-816-3337"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Family Medicine) Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Geriatric Medicine (Family Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.