Active NPI
Cyriac George, D.O.
- Pediatrics Physician
- Blackwood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MB08413700
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB08413700 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare, LLC | Pediatrics | Current | Accepting new patients |
| Advocare , LLC | Current | 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
- 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.
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
- Pediatrics Physician
- Cherry Hill, NJ
- NPI 1780696732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.