Marc Young, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA04463700 Issued in NJ

Practice address

900 Haddon Ave
Suite 102
Collingswood, NJ 08108-2101

Phone

(856) 854-4242

Fax

(856) 854-3585

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Richard S Kresloff,MD, PA

  • Ophthalmology Physician
  • Collingswood, NJ
  • NPI 1427110493
  Medicare reassignment NPD
• Richard S. Kresloff MD PA

  • Durable Medical Equipment & Medical Supplies
  • Collingswood, NJ
  • NPI 1154505782

  Ophthalmology

  NPD

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083706808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HADDON AVE",
            "address_2": "SUITE 102",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082101",
            "telephone_number": "856-854-4242",
            "fax_number": "856-854-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HADDON AVE",
            "address_2": "SUITE 102",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082101",
            "telephone_number": "856-854-4242",
            "fax_number": "856-854-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04463700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2137305",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Mary Wojcik, LSW
• Ryan Samuel Wooden, NP
• Ashley D Wright, BOCO
• Samantha Wurst, LPC
• Sue Yang-Novellino
• Stacy Zemon
• Lindsay Taylor Zogheb
• Fucheng Zou

• Ophthalmology Physician in Collingswood, NJ
• Providers in Collingswood, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.