Organization Active NPI

Yasgur Eye Associates P.C.

  • Ophthalmology Physician
  • Cherry Hill, NJ
National Provider Identifier
1447462312
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25 MA039265 Issued in NJ
Legal business name
YASGUR EYE ASSOCIATES P.C.
Practice address
1415 Marlton Pike E
Suite 404
Cherry Hill, NJ 08034-2210
Phone
(856) 429-0997
Fax
(856) 429-4799
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Lee H Yasgur, M.D.
Title
President
Phone
(856) 429-0997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 25 MA039265 NJ Primary

Addresses

Primary practice location

1415 Marlton Pike E
Suite 404
Cherry Hill, NJ 08034-2210

Mailing address

1415 Marlton Pike E
Suite 404
Cherry Hill, NJ 08034-2210
Phone (856) 429-0997

Other identifiers 1

IdentifierTypeStateIssuer
2401002MedicaidNJ

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1447462312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MARLTON PIKE E",
            "address_2": "SUITE 404",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342210",
            "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 MARLTON PIKE E",
            "address_2": "SUITE 404",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342210",
            "telephone_number": "856-429-0997",
            "fax_number": "856-429-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASGUR EYE ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "YASGUR",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-429-0997",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25 MA039265",
            "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.