Active NPI
Associated Retinal Surgeons
- Ophthalmology Physician
- Cherry Hill, NJ
National Provider Identifier
1184737652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- ASSOCIATED RETINAL SURGEONS
- Practice address
- 501 Cooper Landing Rd
Cherry Hill, NJ 08002 - Phone
- (856) 667-2246
- Fax
- (856) 667-2238
- NPI assigned
- Aug 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carl Dana Regillo, MD
- Title
- Partner
- Phone
- (856) 667-2246
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
501 Cooper Landing Rd
Cherry Hill, NJ 08002
Mailing address
501 Cooper Landing Rd
Cherry Hill, NJ 08002
Phone (856) 667-2246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3902005 | Other | NJ | MEDICAL ASSISTANCE |
National Provider Directory
National Provider Directory- Tax ID family
- Associated Retinal Surgeons
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Cherry Hill, NJ
- NPI 1679625172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184737652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 COOPER LANDING RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08002",
"telephone_number": "856-667-2246",
"fax_number": "856-667-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 COOPER LANDING RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08002",
"telephone_number": "856-667-2246",
"fax_number": "856-667-2238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATED RETINAL SURGEONS",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REGILLO",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "DANA",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "856-667-2246",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "3902005",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.