Robert Dejonge DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101007920 Issued in MI

Legal business name

ROBERT DEJONGE DO PC

Practice address

350 Northland Dr NE
Rockford, MI 49341-1401

Phone

(616) 866-4474

Fax

(616) 866-4476

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert Dejonge, DO

Title

President

Phone

(616) 866-4474

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Margaret Marie Hatfield, NP

  • Nurse Practitioner
  • Grand Rapids, MI
  • NPI 1447334065
  NPD (past)
• Mary Carol Vander Wal, NP

  • Family Nurse Practitioner
  • Marne, MI
  • NPI 1508092354
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1508077165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NORTHLAND DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411401",
            "telephone_number": "616-866-4474",
            "fax_number": "616-866-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NORTHLAND DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411401",
            "telephone_number": "616-866-4474",
            "fax_number": "616-866-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT DEJONGE DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "DEJONGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-866-4474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101007920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111719945",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zakary Riebschleger
• Rite Aid of Michigan Inc
• Riverside Counseling, LLC
• Sara Roach, PT, DPT, CBIS
• Kathryn J Roaleen, M.A,, L L.P.,
• Robinet Physical Therapy
• Barbara Robinet
• Jason Robinet, P.T.
• Rockford Ambulance Inc
• Rockford Dental, PLLC

• Family Medicine Physician in Rockford, MI
• Providers in Rockford, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.