Active NPI
Eleanor M Van Wyk, LPN
- Surgery Physician
- Woodcliff Lake, NJ
National Provider Identifier
1023306982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 250156-1
- Practice address
- 106 Werimus Rd
Woodcliff Lake, NJ 07677 - Phone
- (201) 214-3215
- NPI assigned
- Jul 13, 2011
- Last updated
- Jul 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 250156-1 | NY | Primary |
Addresses
Primary practice location
106 Werimus Rd
Woodcliff Lake, NJ 07677
Mailing address
106 Werimus Rd
Woodcliff Lake, NJ 07677
Phone (201) 214-3214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250156-1 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1023306982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 WERIMUS RD",
"city": "WOODCLIFF LAKE",
"state": "NJ",
"postal_code": "07677",
"telephone_number": "201-214-3214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 WERIMUS RD",
"city": "WOODCLIFF LAKE",
"state": "NJ",
"postal_code": "07677",
"telephone_number": "201-214-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN WYK",
"first_name": "ELEANOR",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "250156-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodcliff Lake, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.