Robert R Vanderyajt OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00441400 Issued in NJ

Legal business name

ROBERT R VANDERYAJT OD PC

Practice address

Plaza 23 225 Route 23
Hamburg, NJ 07419-1700

Phone

(973) 823-0300

Fax

(973) 823-0038

NPI assigned

Nov 30, 2010

Last updated

Jun 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert R Vanderyajt, ODNPI 1164458154

Title

President

Phone

(973) 823-0300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Richard Vanderyajt, OD

  • Optometrist
  • Hamburg, NJ
  • NPI 1164458154
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1184926974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA 23 225 ROUTE 23",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074191700",
            "telephone_number": "973-823-0300",
            "fax_number": "973-823-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA 23 225 ROUTE 23",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074191700",
            "telephone_number": "973-823-0300",
            "fax_number": "973-823-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R VANDERYAJT OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "VANDERYAJT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-823-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00441400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1916700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jamie E Rinaldi, RD
• Sonya Rivera
• Rachel Rochelin
• Kenneth A Roffe, DO
• Ronald Forte, DMD, PA (Hamburg Family Dentistry)
• Ashley Rottenstein, NBC-HWC
• Allen W Rude III, MS, MS

• Optometrist in Hamburg, NJ
• Providers in Hamburg, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.