Active NPI
Robert George Van de Veire, P.T.
- Physical Therapist
- North Haledon, NJ
National Provider Identifier
1184737868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00197500
- Practice address
- 474 Manchester Ave
North Haledon, NJ 07508-2775 - Phone
- (973) 427-7838
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00197500 | NJ | Primary |
Addresses
Primary practice location
474 Manchester Ave
North Haledon, NJ 07508-2775
Mailing address
474 Manchester Ave
North Haledon, NJ 07508-2775
Phone (973) 427-7838
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184737868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 MANCHESTER AVE",
"city": "NORTH HALEDON",
"state": "NJ",
"postal_code": "075082775",
"telephone_number": "973-427-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 MANCHESTER AVE",
"city": "NORTH HALEDON",
"state": "NJ",
"postal_code": "075082775",
"telephone_number": "973-427-7838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DE VEIRE",
"first_name": "ROBERT",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00197500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Haledon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.