NPIMap

Organization Active NPI

Sandra Vause, M.D., P.C.

  • Dermatology Physician
  • Logan Township, NJ
National Provider Identifier
1467524355
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MA059140 Issued in NJ
Legal business name
SANDRA VAUSE, M.D., P.C.
Practice address
545 Beckett Rd Ste 210
Pureland Commons
Logan Township, NJ 08085-1547
Phone
(856) 241-3311
Fax
(856) 241-3969
NPI assigned
Nov 15, 2006
Last updated
May 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Sandra Vause, M.D.NPI 1720150600
Title
Owner
Phone
(856) 678-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X MA059140 NJ Primary
Dermatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207N00000X 25MP00136500 NJ
MOHS-Micrographic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ND0101X MA059140 NJ

Addresses

Primary practice location

545 Beckett Rd Ste 210
Pureland Commons
Logan Township, NJ 08085-1547

Mailing address

545 Beckett Rd Ste 210
Pureland Commons
Logan Township, NJ 08085-1547
Phone (856) 241-3311

National Provider Directory

National Provider Directory

Locations

545 Beckett Rd
Ste 210
Logan Township, NJ 08085
Phone (856) 241-3311

19 Carroll Ave
Pennsville, NJ 08070
Phone (856) 678-9600

545 Beckett Rd
Ste 101
Swedesboro, NJ 08085
Phone (856) 241-3311

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1467524355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 BECKETT RD STE 210",
            "address_2": "PURELAND COMMONS",
            "city": "LOGAN TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851547",
            "telephone_number": "856-241-3311",
            "fax_number": "856-241-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 BECKETT RD STE 210",
            "address_2": "PURELAND COMMONS",
            "city": "LOGAN TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851547",
            "telephone_number": "856-241-3311",
            "fax_number": "856-241-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA VAUSE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "VAUSE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-678-9600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "MA059140",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MP00136500",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "MA059140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.