DR. YURY BAK (NPI# 1285834655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285834655 |
| Entity Type | Individual |
| Full Name | DR. YURY BAK |
| Credential | D.O. |
| Practice Address |
1935 Route 70 E Cherry Hill NJ 08003-2117 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 8564287700 |
| Practice Fax Number | 8564249120 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 25MB09040600 | NJ | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
1285834655 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
25MB09040600 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Brace Rd Ste H, Cherry Hill, NJ 080342600 | 8564287700 | |
| 570 Egg Harbor Rd Ste B1, Sewell, NJ 080802359 | 8564287700 |
| Street Address |
1935 ROUTE 70 E |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08003-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619926946 | Surgical Group of South Jersey, P.a. | Surgery | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2006-05-05 |
| 1194185751 | Karol Meyermann | Surgery | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2016-02-25 |
| 1811354376 | Alyssa Hoover | Physician Assistant | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2016-01-28 |
| 1083040257 | Bryan Quaile | Physician Assistant | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2013-09-19 |
| 1720300478 | Patricia Ann Koper | Nurse Practitioner | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2010-02-23 |
| 1508098443 | Alexandra Cimoch | Physical Therapist | 1935 Route 70 E, Cherry Hill, NJ 08003 | 2009-08-11 |
| 1225283476 | Sandrine N. Martin | Physician Assistant | 1935 Route 70 E, Cherry Hill, NJ 08003 | 2008-12-01 |
| 1609024447 | Michael D Lieb | Surgery | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2008-09-05 |
| 1184811945 | Virtua Surgical Group, P.a | Surgery | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2007-09-26 |
| 1124244637 | Khaled Iqbal El-badawi | Colon & Rectal Surgery | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528695483 | Yvonne Lee | Registered Nurse | Nbn Group, 2 Pin Oak Lane, Suite 250, Cherry Hill, NJ 08003 | 2020-03-23 |
| 1639717945 | Nancy Sue Epstein | Occupational Therapist | 1817 E. Fireside Court -tools for Healing LLC, Cherry Hill, NJ 08003 | 2019-12-17 |
| 1346885126 | Martin Igoe | Nurse Practitioner | 1865 Rt 70 East, Cherry Hill, NJ 08003 | 2019-11-15 |
| 1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1497229439 | Laura Marozzi | Lactation Consultant, Non-RN | 7 Summer Pl, Cherry Hill, NJ 08003 | 2019-01-12 |
| 1104328319 | Amanda Butto | Counselor | 1930 Marlton Pike E Ste T, Cherry Hill, NJ 08003 | 2018-03-03 |
| 1073043857 | Sara Cox | Behavioral Analyst | 425 Old Orchard Road, Cherry Hill, NJ 08003 | 2017-06-14 |
| 1912433731 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 527 Balsam Rd, Cherry Hill, NJ 08003 | 2017-05-11 |
| 1366978181 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Evans Lane, Cherry Hill, NJ 08003 | 2017-05-11 |
| Find all providers in zip 08003 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982074290 | Frontier Medical Care | Surgery | 301 Tavistock, Cherry Hill, NJ 08034-4020 | 2015-09-29 |
| 1801122205 | Richard Kevin Spence | Surgery | 1828 Cardinal Lake Dr, Cherry Hill, NJ 08003-2804 | 2009-10-20 |
| 1194185751 | Karol Meyermann | Surgery | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2016-02-25 |
| 1609024447 | Michael D Lieb | Surgery | 1935 Route 70 E, Cherry Hill, NJ 08003-2117 | 2008-09-05 |
| 1063675064 | Joseph Michael Romilla Zuniga | Surgery | 1935 Route 70 East, Cherry Hill, NJ 08003 | 2008-07-09 |
| 1730351164 | Cardiothoracic Surgical Specialist of Cherry Hill P A | Surgery | 1245 Brace Rd, Cherry Hill, NJ 08034-3214 | 2008-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447784 | Heritage Wound Care LLC | Surgery | 163 Madison Ave Ste 220, Morristown, NJ 07960-7325 | 2019-09-23 |
| 1063063188 | Jvg Cardiovascular LLC | Surgery | 60 Baldwin Rd Ste 101b, Parsippany, NJ 07054-2901 | 2019-09-20 |
| 1558918359 | Varicose Veins Doctor Pa | Surgery | 3478 Kennedy Blvd, Jersey City, NJ 07307-4117 | 2019-08-26 |
| 1437701729 | Usa Vascular Center of New Jersey LLC | Surgery | 272 Main St Ste A, Orange, NJ 07050-3605 | 2019-07-16 |
| 1396301974 | Vascular & Vein Center of New Jersey LLC | Surgery | 10 Industrial Way E Ste 103, Eatontown, NJ 07724-3332 | 2019-05-19 |
| 1568936326 | Heritage Vascular PC | Surgery | 663 E Crescent Ave Ste 111, Ramsey, NJ 07446-1220 | 2019-01-15 |
| 1144761685 | Center for Vascular Medicine Nj, LLC | Surgery | 415 Route 24 Ste 6/7, Chester, NJ 07930-2920 | 2017-03-16 |
| 1134665631 | Robert S.walsky Md | Surgery | 22 Angela Ct, Woodcliff Lake, NJ 07677-8102 | 2017-01-09 |
| 1023486925 | Associates In Vascular Care LLC Limb Salvage Center | Surgery | 1000 Route 35 South, Suite 300, Middletown, NJ 07748-2606 | 2015-09-09 |
| 1154742872 | Bergen Thoracic and Vascular Associates P.C. | Surgery | 350 Engle Street - 2 East (floor), C/o Englewood Hospital and Medical Center, Englewood, NJ 07631 | 2013-12-23 |
| Find all providers with the same taxonomy | ||||
| City | CHERRY HILL |
| Zip Code | 08003 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.