Organization Active NPI

Associated Retinal Surgeons

  • Ophthalmology Physician
  • Cherry Hill, NJ
National Provider Identifier
1184737652
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3902005OtherNJMEDICAL ASSISTANCE

National Provider Directory

National Provider Directory
Tax ID family
Associated Retinal Surgeons2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.