Provider Demographics
NPI:1538136510
Name:SAGAR, YOGESH (MD)
Entity Type:Individual
Prefix:DR
First Name:YOGESH
Middle Name:
Last Name:SAGAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 FRANK W BURR BLVD
Mailing Address - Street 2:SUITE 22
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-6839
Mailing Address - Country:US
Mailing Address - Phone:201-928-2300
Mailing Address - Fax:201-692-3263
Practice Address - Street 1:400 FRANK W BURR BLVD
Practice Address - Street 2:SUITE 22
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-6839
Practice Address - Country:US
Practice Address - Phone:201-907-0442
Practice Address - Fax:201-692-3263
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06609400207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJSA5715961Medicare ID - Type Unspecified
NJG61469Medicare UPIN