Provider Demographics
NPI:1154581619
Name:MAGYAR, YASHA (DO)
Entity type:Individual
Prefix:DR
First Name:YASHA
Middle Name:
Last Name:MAGYAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 LEXINGTON AVE
Mailing Address - Street 2:18B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6506
Mailing Address - Country:US
Mailing Address - Phone:646-467-2737
Mailing Address - Fax:888-277-9455
Practice Address - Street 1:369 LEXINGTON AVE
Practice Address - Street 2:18B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6506
Practice Address - Country:US
Practice Address - Phone:646-467-2737
Practice Address - Fax:888-277-9455
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261708208VP0014X, 208100000X
PAOS015183208100000X
NJ25MB09022300208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102470401-0001Medicaid
PA181395MWAMedicare PIN