KYLE GLEN YURCISIN (NPI# 1770145344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770145344 |
| Entity Type | Individual |
| Full Name | KYLE GLEN YURCISIN |
| Credential | PA-C |
| Practice Address |
1200 Eagle Ave Ocean NJ 07712-7631 |
| Mailing Address |
8 Farm Rd Ewing NJ 08638-1412 |
| Practice Telephone | 7326606200 |
| Mailing Telephone | 9082957375 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1200 EAGLE AVE |
| City | OCEAN |
| State | NJ |
| Zip Code | 07712-7631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730152562 | Joseph Thomas Gower | Orthopaedic Surgery | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2006-02-10 |
| 1730707100 | Shannon Marie Gathman | Occupational Therapist | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2020-07-11 |
| 1619515699 | Nicole Farkouh | Physician Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2019-12-20 |
| 1245878941 | Matthew Jepson | Physical Therapy Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2019-12-13 |
| 1760020465 | Carolina Perez-caballero | Physical Therapy Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2019-12-13 |
| 1205482718 | Kelly Zarnowski | Physical Therapist | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2019-08-12 |
| 1801454376 | Joseph William Paton | Physician Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2019-05-30 |
| 1326506791 | Bevin Benton | Physician Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2019-03-05 |
| 1134607674 | Joseph Tulino | Physician Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2018-08-06 |
| 1801387105 | Sueann Krentzman | Physical Therapy Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2018-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275762 | Derek Du | Physical Therapist | 52 Dune Rd, Ocean Township, NJ 07712 | 2020-08-12 |
| 1295395630 | Lauren Rosenthal | Behavior Technician | 3 Michael Dr, Tinton Falls, NJ 07712 | 2019-06-18 |
| 1649743287 | Zachary Fendrick | Physical Therapist | 1540 West Park Ave Unit #4, Tinton Falls, NJ 07712 | 2019-01-07 |
| 1922597988 | Rosemary E Smentkowski | Nurse Practitioner | 1518 4th Ave, Asbury Park, NJ 07712 | 2018-05-05 |
| 1285131748 | Life Long Health Incorporated | Durable Medical Equipment & Medical Supplies | 606 Bangs Ave 3rd Floor, Unit 327, Asbury Park, NJ 07712 | 2018-04-11 |
| 1174035745 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt #213, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-11-03 |
| 1033629159 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 103, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1477063592 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 105, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1750891966 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 107, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| 1316457526 | The Arc of Monmouth, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Wayside Road Apt 110, Wayside Oaks, Tinton Falls, NJ 07712 | 2017-10-03 |
| Find all providers in zip 07712 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134607674 | Joseph Tulino | Physician Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2018-08-06 |
| 1710407366 | Connor John Mcauley | Physician Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2017-06-25 |
| 1013340454 | Deanna Alexis Jasinski | Physician Assistant | 1200 Eagle Ave, Ocean, NJ 07712-7631 | 2013-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062463 | Erica Josephine Lobuglio | Physician Assistant | 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 | 2020-08-04 |
| 1407471493 | Angelice Grasso | Physician Assistant | 3 Holly Ln, Garfield, NJ 07026-3565 | 2020-06-15 |
| 1063036358 | Jaina Marie Lumkong | Physician Assistant | 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 | 2020-06-02 |
| 1740804384 | Allison Sy Tan | Physician Assistant | 10 Bahr Cir, Verona, NJ 07044-3200 | 2020-05-29 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1740830413 | Atara Hagler | Physician Assistant | 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 | 2019-09-16 |
| 1568943058 | Ekaterina M Rezvin | Physician Assistant | 80 Woodland Park Dr, Tenafly, NJ 07670-3028 | 2018-08-23 |
| 1225550353 | Kristen Cordiello | Physician Assistant | 1610 Route 88 Ste 203, Brick, NJ 08724-3018 | 2017-07-11 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1063932259 | Matthew Gabriel | Physician Assistant | 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 | 2017-06-20 |
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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.