Individual provider Active NPI

Joycelyn Helene Vardo, DO

  • Obstetrics & Gynecology Physician
  • Dover, NH
National Provider Identifier
1184633646
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
242484 Issued in MA
Practice address
700 Central Ave
Dover, NH 03820-6434
Phone
(603) 742-2424
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 242484 MA Primary

Addresses

Primary practice location

700 Central Ave
Dover, NH 03820-6434

Mailing address

44 Belanger Dr
Dover, NH 03820-4602
Phone (207) 653-7118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160830002120 NH Practitioner - Obstetrics/Gynecology 5698960383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of New England, College of Osteo Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wentworth Douglass Physician CorporationGroup PAC ID 5496749848, 429 clinicians

Practice addresses (Care Compare)

700 Central Ave
Dover, NH 03820-6434
Phone (603) 742-2424

Hospital & facility affiliations

  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince Sep 16, 2019 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Sep 16, 2019 Accepting new patients
Bridgewater Goddard Park Medical Associates, Inc. Past Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

15 Old Rollinsford Rd
Ste 102
Dover, NH 03820
Phone (603) 742-7338

67 Corporate Dr
#300
Portsmouth, NH 03801
Phone (603) 516-0092

150 Marketplace Blvd
Unit 9
Rochester, NH 03867
Phone (603) 516-4212

Interoperability endpoints

  • Direct secure messaging: vardo.joycelyn.wdh@direct.partners.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467072000000",
    "number": "1184633646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BELANGER DR",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204602",
            "telephone_number": "207-653-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038206434",
            "telephone_number": "603-742-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARDO",
        "first_name": "JOYCELYN",
        "middle_name": "HELENE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "242484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.