Individual provider Active NPI

Kyle Glen Yurcisin, PA-C

  • Surgical Physician Assistant
  • Ocean, NJ
National Provider Identifier
1770145344
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
1200 Eagle Ave
Ocean, NJ 07712-7631
Phone
(732) 660-6200
NPI assigned
Jul 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NJ Primary

Addresses

Primary practice location

1200 Eagle Ave
Ocean, NJ 07712-7631

Mailing address

8 Farm Rd
Ewing, NJ 08638-1412
Phone (908) 295-7375

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190827002611 NJ Practitioner - Physician Assistant 0143558288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Eagle Ave
Ocean, NJ 07712-7631
Phone 732660620011702

1640 Route 88 W
Brick, NJ 08724-3068
Phone (732) 458-7866

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.19 of 100Reported as group
Quality
42.79
Promoting interoperability
95
Improvement activities
40
Cost
68.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Aug 15, 2019 Accepting new patients
Seaview Orthopaedics & Medical Associates LLP CurrentSince Aug 15, 2019 Accepting new patients

Locations

1640 Route 88 W
Brick, NJ 08724
Phone (732) 458-7866

1200 Eagle Ave
Ocean, NJ 07712

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1770145344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FARM RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086381412",
            "telephone_number": "908-295-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EAGLE AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127631",
            "telephone_number": "732-660-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURCISIN",
        "first_name": "KYLE",
        "middle_name": "GLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

Verify at the official NPI Registry.