Gregory Vanvlietdds,Peter Perera DMD,PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01271000 Issued in NJ

Legal business name

GREGORY VANVLIETDDS,PETER PERERA DMD,PA

Practice address

33 Sicomac Rd
North Haledon, NJ 07508-2971

Phone

(973) 427-0300

Fax

(973) 427-7745

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Vanvliet, D.D.S.

Title

Owner

Phone

(973) 427-0300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073681060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SICOMAC RD",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082971",
            "telephone_number": "973-427-0300",
            "fax_number": "973-427-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SICOMAC RD",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082971",
            "telephone_number": "973-427-0300",
            "fax_number": "973-427-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY VANVLIETDDS,PETER PERERA DMD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANVLIET",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-427-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01271000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Allen Garner, D.C.
• James W Goodnight, M.D.
• Anthony Gotay, M,D.
• Jason Oliver Grabelsky, LSW
• Caren Greenwald, MSW
• Brittany Lee Griffin, LSW
• Andrea Marie Gurciullo, LAC
• Amanda Happel
• Remy Harris
• Christine Elizabeth Hayes, RPH

• General Practice Dentistry in North Haledon, NJ
• Providers in North Haledon, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.