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

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

Organization subpart

No

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

Authorized official

Name

Sandra Vause, M.D.

Title

Owner

Phone

(856) 678-9600

Specialties & licenses 3

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anamaria Newport, P.A.-C

  • Medical Physician Assistant
  • Haddon Heights, NJ
  • NPI 1386972321
  NPD (past)
• Francesca Rachel Burgi, PA-C

  • Physician Assistant
  • Huntingdon Valley, PA
  • NPI 1699019307
  NPD (past)
• John Warren Robertson III, MD

  • Vascular Surgery Physician
  • Tomah, WI
  • NPI 1770511578
  NPD (past)
• Nicole Wotus-Silvestri, PA-C

  • Physician Assistant
  • Newark, DE
  • NPI 1508938481

  Dermatology

  NPD (past)

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": []
}

• Erin M Meyers, RN
• Novacare
• Salem Clinic Corp
• Salem Medical Professionals, P.C.
• Roger Brent Samartino, DPT
• Stephanie A Scanzano, MSOTRL
• George Seretis, DO
• Seretiscare Inc.
• Veronica Yates, MS, MA, LPC

• Dermatology Physician in Logan Township, NJ
• Providers in Logan Township, NJ by specialty
• Dermatology Physician in New Jersey

• 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.