Individual provider Active NPI

Lee H Yasgur, MD

  • Ophthalmology Physician
  • Cherry Hill, NJ
National Provider Identifier
1225118771
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA039265 Issued in NJ
Practice address
1415 RT 70 East
Cherry Hill
Cherry Hill, NJ 08034-2210
Phone
(856) 429-0997
Fax
(856) 429-4799
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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 25MA039265 NJ Primary

Addresses

Primary practice location

1415 RT 70 East
Cherry Hill
Cherry Hill, NJ 08034-2210

Mailing address

19 Robin Lake Drive
Cherry Hill
Cherry Hill, NJ 08003
Phone (856) 429-0997

Other identifiers 1

IdentifierTypeStateIssuer
2401002MedicaidNJ

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
I20050718000640 NJ Practitioner - Ophthalmology 2769419175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Hahnemann University College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians PCGroup PAC ID 8224930201, 13 clinicians

Practice addresses (Care Compare)

1140 White Horse Rd
Suite 1
Voorhees, NJ 08043-2106
Phone (856) 784-3366

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA039265NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians PC Ophthalmology CurrentSince Jan 1, 2024 Accepting new patients
Eye Physicians PC Ophthalmology CurrentSince Jan 1, 2024 Accepting new patients

Locations

1415 Route 70 E
Ste 404
Cherry Hill, NJ 08034
Phone (856) 429-0097

1415 Route 70 E
Cherry Hill, NJ 08034
Phone (800) 670-3893

389 Ganttown Rd
Ste G
Sewell, NJ 08080
Phone (856) 589-4545

1140 White Horse Rd
Ste 1
Voorhees, NJ 08043
Phone (856) 784-3366

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1225118771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ROBIN LAKE DRIVE",
            "address_2": "CHERRY HILL",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08003",
            "telephone_number": "856-429-0997",
            "fax_number": "856-429-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 RT 70 EAST",
            "address_2": "CHERRY HILL",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342210",
            "telephone_number": "856-429-0997",
            "fax_number": "856-429-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YASGUR",
        "first_name": "LEE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA039265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2401002",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.