Provider Demographics
NPI:1598959041
Name:MOHAMED H. YOSRY, MD, PA
Entity Type:Organization
Organization Name:MOHAMED H. YOSRY, MD, PA
Other - Org Name:OCEAN BIO-BEHAVIORAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:H
Authorized Official - Last Name:YOSRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-240-5544
Mailing Address - Street 1:40 BEY LEA RD
Mailing Address - Street 2:SUITE B 201
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2900
Mailing Address - Country:US
Mailing Address - Phone:732-240-5544
Mailing Address - Fax:732-240-1180
Practice Address - Street 1:40 BEY LEA RD
Practice Address - Street 2:SUITE B 201
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-2900
Practice Address - Country:US
Practice Address - Phone:732-240-5544
Practice Address - Fax:732-240-1180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ087534Medicare PIN