Erica Van Pelt, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02704300 Issued in NJ

Practice address

2301 E Evesham Rd Ste 205
Voorhees, NJ 08043-4504

Phone

(856) 772-3777

Fax

(856) 772-5878

NPI assigned

Jun 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wyckoff-Nester, LLP

  • General Practice Dentistry
  • Wenonah, NJ
  • NPI 1306049259
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1508396458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 COUNTRY CLUB DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033339",
            "telephone_number": "856-889-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 205",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434504",
            "telephone_number": "856-772-3777",
            "fax_number": "856-772-5878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Mantua Ave",
            "address_purpose": "LOCATION",
            "city": "Wenonah",
            "state": "NJ",
            "postal_code": "080901921",
            "country_code": "US",
            "telephone_number": "856-468-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN PELT",
        "first_name": "ERICA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042607",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02704300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Ann George Uston, OTR/L
• Ushma Vadher, MD
• Rinaben Vaghela Makani
• Aileen Valencia, DMD
• Lorraine Valentino, MACCCSLP
• Stephanie Van'T Zelfden, RDN, CDN
• Marivic Vanover, APRN-BC
• Gerardo Varallo, D.O.
• Joby Varghese, D.O.
• Mariah Vargo, MA

• General Practice Dentistry in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.