Individual provider Active NPI

Yatish B Merchant, MD

  • Cardiovascular Disease Physician
  • Galloway, NJ
National Provider Identifier
1598786246
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA04555600 Issued in NJ
Practice address
318 Chris Gaupp Dr
Galloway, NJ 08205-4460
Phone
(609) 404-9900
Fax
(609) 404-3653
NPI assigned
Jul 21, 2006
Last updated
Aug 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA04555600 NJ Primary

Addresses

Primary practice location

318 Chris Gaupp Dr
Galloway, NJ 08205-4460

Mailing address

318 Chris Gaupp Dr
Galloway, NJ 08205-4460
Phone (609) 404-9900

Other identifiers 4

IdentifierTypeStateIssuer
0232629000OtherNJAMERIHEALTH
24035OtherNJAETNA
223459862008OtherNJCIGNA
P3044447OtherNJOXFORD

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
I20120222000710 NJ Practitioner - Cardiovascular Disease (Cardiology) 9638083728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

106 Court House S Dennis Rd
Suite 200
Cape May Court House, NJ 08210-1971
Phone (609) 407-2332

1401 Atlantic Ave
Suite 2600
Atlantic City, NJ 08401-7027
Phone (609) 572-6055

227 N Vermont Ave
FL 1 FQHC at Jefferies Tower
Atlantic City, NJ 08401-5563
Phone (609) 572-8800

54 W Jimmie Leeds Rd
Suite 8
Galloway, NJ 08205-9438
Phone (609) 404-7300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Apr 6, 2014 Accepting new patients
Atlanticare Physician Group PA Cardiovascular Disease CurrentSince Apr 6, 2014 Accepting new patients
Atlanticare Health Services, Inc. CurrentSince Nov 28, 2017 Accepting new patients
Atlanticare Regional Medical Center CurrentSince May 1, 2004 Accepting new patients
Atlanticare Health Services, Inc. CurrentSince Nov 28, 2017 Accepting new patients
Atlanticare Regional Medical Center CurrentSince May 1, 2004 Accepting new patients
Atlanticare Health Services Inc. Past Accepting new patients
Atlanticare Physician Group Past Accepting new patients
Shore Memorial Hospital Past Accepting new patients

Locations

1401 Atlantic Ave
Ste 2600
Atlantic City, NJ 08401
Phone (609) 441-8036

1401 Atlantic Ave
Ste 2700
Atlantic City, NJ 08401
Phone (609) 441-2104

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

106 Court House South Dennis Rd
Ste 200
Cape May Court House, NJ 08210
Phone (609) 465-0300

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

318 Chris Gaupp Dr
Galloway, NJ 08205
Phone (609) 404-9900

54 W Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 404-7300

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1598786246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 CHRIS GAUPP DR",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054460",
            "telephone_number": "609-404-9900",
            "fax_number": "609-404-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 CHRIS GAUPP DR",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054460",
            "telephone_number": "609-404-9900",
            "fax_number": "609-404-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCHANT",
        "first_name": "YATISH",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA04555600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0232629000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "24035",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "223459862008",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3044447",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.