Vanlare Medical Practice PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

VANLARE MEDICAL PRACTICE PLLC

Practice address

460 Beechmont Dr
New Rochelle, NY 10804-4613

Phone

(914) 200-3782

NPI assigned

Jun 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jordan Metz Vanlare, MD

Title

Member

Phone

(973) 978-5241

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1346622115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25272",
            "city": "FARMINGTON",
            "state": "NY",
            "postal_code": "144250272",
            "telephone_number": "914-200-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 BEECHMONT DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108044613",
            "telephone_number": "914-200-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANLARE MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "VANLARE",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "METZ",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "973-978-5241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasios G. Vakkas, D.D.S., M.D.
• Mariana Yelise Valdez Thomas, MD
• Erin Jennings Valentinetti, MS, RD, CSO, CDN
• Daniel Van Bergen
• Erika Vandewater, ATC
• Jordan Vanlare, M.D.
• Erik Vardumyan
• Annmarie Vargas
• Claribel Vargas
• Bivin Varghese, M.D.

• General Practice Physician in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.