Individual provider Active NPI

Cyriac George, D.O.

  • Pediatrics Physician
  • Blackwood, NJ
National Provider Identifier
1629239884
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB08413700 Issued in NJ
Practice address
535 S Black Horse Pike
Blackwood, NJ 08012
Phone
(856) 228-1061
Fax
(856) 228-1907
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MB08413700 NJ Primary

Addresses

Primary practice location

535 S Black Horse Pike
Blackwood, NJ 08012

Mailing address

535 S Black Horse Pike
Blackwood, NJ 08012-2807
Phone (856) 228-1061

Other practice location 1

325 Marlton Pike E
Cherry Hill, NJ 08034-2408
Phone (856) 528-5370

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
I20170627002257 NJ Practitioner - Pediatric Medicine 5193094654 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB08413700NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Pediatrics CurrentSince May 15, 2017 Accepting new patients
Advocare , LLC CurrentSince May 15, 2017 Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients

Locations

535 S Black Horse Pike
Blackwood, NJ 08012
Phone (856) 228-1061

325 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 528-5370

1949 Marlton Pike E
Ste 1
Cherry Hill, NJ 08003
Phone (856) 424-6050

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

123 Egg Harbor Rd
Ste 206
Sewell, NJ 08080
Phone (856) 227-5437

Interoperability endpoints

  • Direct secure messaging: cyriac.george@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 3

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": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1629239884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S BLACK HORSE PIKE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122807",
            "telephone_number": "856-228-1061",
            "fax_number": "856-228-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S BLACK HORSE PIKE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-228-1061",
            "fax_number": "856-228-1907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Marlton Pike E",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342408",
            "country_code": "US",
            "telephone_number": "856-528-5370",
            "fax_number": "856-528-5375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "CYRIAC",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB08413700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwood, NJ

Sources for this page

Verify at the official NPI Registry.