Individual provider Active NPI

John P Van Dongen, MD

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1366402695
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME73716 Issued in FL
Practice address
599 Ninth St N
Tib Bank BLDG 308
Naples, FL 34102
Phone
(239) 643-7888
Fax
(239) 643-4744
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME73716 FL Primary

Addresses

Primary practice location

599 Ninth St N
Tib Bank BLDG 308
Naples, FL 34102

Mailing address

599 Ninth St N
Tib Bank BLDG 308
Naples, FL 34102
Phone (239) 643-7888

Other identifiers 2

IdentifierTypeStateIssuer
0190398OtherUHC
5727534OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040302000910 FL Practitioner - Family Practice 8628965894 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME73716FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WVL Synergy Medical Services, LLC Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
Anchor Health Centers PA Family Medicine Past Accepting new patients

Locations

599 9th St N
Ste 211
Naples, FL 34102
Phone (239) 263-8001

599 9th St N
Ste 308
Naples, FL 34102
Phone (239) 423-7139

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366402695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 NINTH ST N",
            "address_2": "TIB BANK BLDG 308",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34102",
            "telephone_number": "239-643-7888",
            "fax_number": "239-643-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 NINTH ST N",
            "address_2": "TIB BANK BLDG 308",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34102",
            "telephone_number": "239-643-7888",
            "fax_number": "239-643-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DONGEN",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME73716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0190398",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5727534",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.