Linda Van Der Meulen, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

004194 Issued in NY

Practice address

2 Sherman Potts Drive
Suite 203
Ghent, NY 12075-3216

Phone

(518) 392-2277

Fax

(518) 392-7883

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chatham Pediatrics, PLLC

  • Pediatrics Physician
  • Ghent, NY
  • NPI 1346253218
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558394742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHERMAN POTTS DRIVE",
            "address_2": "SUITE 203",
            "city": "GHENT",
            "state": "NY",
            "postal_code": "120753216",
            "telephone_number": "518-392-2277",
            "fax_number": "518-392-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHERMAN POTTS DRIVE",
            "address_2": "SUITE 203",
            "city": "GHENT",
            "state": "NY",
            "postal_code": "120753216",
            "telephone_number": "518-392-2277",
            "fax_number": "518-392-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER MEULEN",
        "first_name": "LINDA",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01635881",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Shanklin
• Special Needs Program, Inc
• Margot Mosier Swartz, PA
• Kimberly Tarbox
• Twin County Sleep Center LLC (Twin County Sleep Center)
• Vortex Physical Therapy, PC
• Whittier Health Services Inc (Whittier Place)
• Your Family Doc, P.C.

• Physician Assistant in Ghent, NY
• Providers in Ghent, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.