Organization Active NPI

Yitzhack Asulin, MD, PC

  • Specialist
  • Hackensack, NJ
National Provider Identifier
1275857468
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MA08686200 Issued in NJ
Legal business name
YITZHACK ASULIN, MD, PC
Practice address
20 Prospect Ave Ste 719
Hackensack, NJ 07601-1974
Phone
(201) 880-5578
Fax
(917) 543-5638
NPI assigned
Mar 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. Yitzhack Asulin, M.D.
Title
President
Phone
(201) 880-5578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MA08686200 NJ Primary

Addresses

Primary practice location

20 Prospect Ave Ste 719
Hackensack, NJ 07601-1974

Mailing address

20 Prospect Ave
Suite 719
Hackensack, NJ 07601-1997
Phone (201) 880-5578

Other identifiers 1

IdentifierTypeStateIssuer
25MA08686200OtherNJNJ STATE MEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1275857468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE",
            "address_2": "SUITE 719",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011997",
            "telephone_number": "201-880-5578",
            "fax_number": "917-543-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE STE 719",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011974",
            "telephone_number": "201-880-5578",
            "fax_number": "917-543-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YITZHACK ASULIN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "ASULIN",
        "authorized_official_first_name": "YITZHACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-880-5578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08686200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE MEDICAL LICENSE",
            "identifier": "25MA08686200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.