Individual provider Active NPI

Dorothy Vanslyke, APN

  • Adult Health Nurse Practitioner
  • Woodcliff Lake, NJ
National Provider Identifier
1023407574
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00521600 Issued in NJ
Practice address
595 Chestnut Ridge Rd Ste 7a
Woodcliff Lake, NJ 07677-7667
Phone
(844) 566-2723
Fax
(914) 351-2316
NPI assigned
Jan 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00521600 NJ
Gerontology Nurse Practitioner 363LG0600X 26NJ00521600 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ00521600 NJ
Adult Health Nurse Practitioner 363LA2200X 26NJ00521600 NJ Primary

Addresses

Primary practice location

595 Chestnut Ridge Rd Ste 7a
Woodcliff Lake, NJ 07677-7667

Mailing address

595 Chestnut Ridge Rd Ste 7a
Woodcliff Lake, NJ 07677-7667
Phone (844) 566-2723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150526000914 NJ Practitioner - Nurse Practitioner 8628398146 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00521600NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medwell LLC CurrentSince Mar 26, 2015 Accepting new patients
Wellness & Pain PC PastSince Mar 27, 2022 Accepting new patients

Locations

33 Central Ave
Midland Park, NJ 07432
Phone (201) 447-9022

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1023407574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CHESTNUT RIDGE RD STE 7A",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777667",
            "telephone_number": "844-566-2723",
            "fax_number": "914-351-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 CHESTNUT RIDGE RD STE 7A",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777667",
            "telephone_number": "844-566-2723",
            "fax_number": "914-351-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSLYKE",
        "first_name": "DOROTHY",
        "name_prefix": "Miss",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00521600",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00521600",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00521600",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00521600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodcliff Lake, NJ

Sources for this page

Verify at the official NPI Registry.