Yadollah Gorji MD PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

25MA02774400 Issued in NJ

Legal business name

YADOLLAH GORJI MD PA

Practice address

42 Lacosta Dr
Egg Harbor TWP, NJ 08234-5839

Phone

(609) 601-8522

Fax

(609) 601-8522

NPI assigned

Nov 19, 2010

Last updated

Nov 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Yadollah Gorji, MD

Title

President/Pathologist

Phone

(609) 601-8522

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1659673937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LACOSTA DR",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345839",
            "telephone_number": "609-601-8522",
            "fax_number": "609-601-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 LACOSTA DR",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345839",
            "telephone_number": "609-601-8522",
            "fax_number": "609-601-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YADOLLAH GORJI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "GORJI",
        "authorized_official_first_name": "YADOLLAH",
        "authorized_official_title_or_position": "PRESIDENT/PATHOLOGIST",
        "authorized_official_telephone_number": "609-601-8522",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA02774400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayelle Walters, PHARMD
• Zachary Thomas Wilt, M.D.
• Katherine Ann Worthington, PA-C
• Christina Marie Wrigley, SLP
• John Yacoub
• David Yang, PHARM.D
• Nancy Younan
• Iman S Youssef, M.D.
• Ismene Zamor, APN, PMHNP-BC
• Lisa Ann Zuniga

• Anatomic Pathology & Clinical Pathology Physician in Egg Harbor TWP, NJ
• Providers in Egg Harbor TWP, NJ by specialty
• Anatomic Pathology & Clinical Pathology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.