Yassin Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA42926 Issued in NJ

Legal business name

YASSIN PEDIATRICS

Practice address

115 Lacey Road
Forked River, NJ 08731-0537

Phone

(609) 971-0010

Fax

(609) 242-1906

NPI assigned

Sep 22, 2006

Last updated

Jan 10, 2011By 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

Mahmoud YassinNPI 1922387620

Title

Owner

Phone

(609) 971-0010

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26943/brand/1/csg/1/fhir/r4

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.

• Mahmoud Yassin

  • Pediatrics Physician
  • Forked River, NJ
  • NPI 1922387620
  NPD (past) Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1205935509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087310537",
            "telephone_number": "609-971-0010",
            "fax_number": "609-242-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LACEY ROAD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087310537",
            "telephone_number": "609-971-0010",
            "fax_number": "609-242-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASSIN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "YASSIN",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-971-0010"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA42926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3214605",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William K. Power, MD, PA
• George Williams, M.D.
• Erin Kathleen Wimer, MSPT, DPT
• Sarah Winton
• Xanadu Behavior Therapy
• Mahmoud Yassin
• Daniel Yoo
• Hassan Younas
• Young Minds Pediatrics LLC
• Grace Young, SLP

• Pediatrics Physician in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.