Physician Compare National (NPI:1538271275)

HEALTHCARE PROVIDER: MARVIN R HYETT MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1538271275
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2961534375
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100721000341
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HYETT
	Individual professional last name
Provider First Name	MARVIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
	Individual professional's medical school
Graduation Year	1963
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ATLANTICARE PHYSICIAN GROUP PA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8527953660
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	356
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	443 SHORE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	SOMERS POINT
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	082442645
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6094072273
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310064
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ATLANTICARE REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	390174
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	THOMAS JEFFERSON UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	390111
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HOSPITAL OF UNIV OF PENNSYLVANIA
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	390139
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	BRYN MAWR HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	390226
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	PENNSYLVANIA HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1538271275)

HEALTHCARE PROVIDER: MARVIN R HYETT MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information