Individual provider Active NPI

Michael Joseph Yaros, MD

  • Ophthalmology Physician
  • Runnemede, NJ
National Provider Identifier
1154327708
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MA44005 Issued in NJ
Practice address
619 W Clements Bridge Rd
Runnemede, NJ 08078-1926
Phone
(856) 939-9111
NPI assigned
Jun 28, 2005
Last updated
Oct 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MA44005 NJ Primary

Addresses

Primary practice location

619 W Clements Bridge Rd
Runnemede, NJ 08078-1926

Mailing address

619 W Clements Bridge Rd
Runnemede, NJ 08078-1926
Phone (856) 939-9111

Other identifiers 1

IdentifierTypeStateIssuer
2403404MedicaidNJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050519000683 NJ Practitioner - Ophthalmology 1052352010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Temple University School of Medicine, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

619 W Clements Bridge Rd
Runnemede, NJ 08078-1926

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA44005NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eyecare and Laser Center PC Ophthalmology CurrentSince May 29, 2012 Accepting new patients

Locations

100 Brace Rd
Cherry Hill, NJ 08034
Phone (856) 354-1999

303 Kings Hwy S
Ste 2
Cherry Hill, NJ 08034
Phone (856) 354-1999

53 S Main St
Mullica Hill, NJ 08062
Phone (856) 223-0227

619 W Clements Bridge Rd
Runnemede, NJ 08078
Phone (856) 939-9111

Organizations & group practices 1

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1154327708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 W CLEMENTS BRIDGE RD",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781926",
            "telephone_number": "856-939-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 W CLEMENTS BRIDGE RD",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781926",
            "telephone_number": "856-939-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAROS",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "MA44005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2403404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Runnemede, NJ

Sources for this page

Verify at the official NPI Registry.