Individual provider Active NPI

Yaniv D Harel, D.M.D

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Philadelphia, PA
National Provider Identifier
1881009371
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
22DI02832700 Issued in NJ
Practice address
909 Walnut St FL 3
Tjuh Dept. of Oral & Maxillofacial Surgery
Philadelphia, PA 19107-5211
Phone
(215) 955-6215
Fax
(215) 923-9189
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 22DI02832700 NJ Primary
Dentist 122300000X DS040030 PA

Addresses

Primary practice location

909 Walnut St FL 3
Tjuh Dept. of Oral & Maxillofacial Surgery
Philadelphia, PA 19107-5211

Mailing address

449 Hurffville Crosskeys Rd
Unit II
Sewell, NJ 08080-9369
Phone (856) 582-4222

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701003280 NJ Practitioner - Oral Surgery 8921225681 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040030PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lanzi Burke and Associates LLC CurrentSince Jul 12, 2021 Accepting new patients

Locations

15 E Euclid Ave
Haddonfield, NJ 08033
Phone (856) 429-1711

449 Hurffville Crosskeys Rd
Unit Ii
Sewell, NJ 08080
Phone (856) 582-4222

1630 Route 322
Unit A
Woolwich Twp, NJ 08085
Phone (856) 795-4600

Organizations & group practices 1

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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1881009371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 HURFFVILLE CROSSKEYS RD",
            "address_2": "UNIT II",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809369",
            "telephone_number": "856-582-4222",
            "fax_number": "856-582-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 WALNUT ST FL 3",
            "address_2": "TJUH DEPT. OF ORAL & MAXILLOFACIAL SURGERY",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075211",
            "telephone_number": "215-955-6215",
            "fax_number": "215-923-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAREL",
        "first_name": "YANIV",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02832700",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.