Peter G Vandeerlin, M.D.

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

MA065543 Issued in NJ

Practice address

400 Lippincott Dr
Suite 130
Marlton, NJ 08053-4161

Phone

(856) 596-2233

Fax

(856) 596-2411

NPI assigned

Feb 6, 2006

Last updated

Aug 28, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peter.vandeerlin@axia.eclinicaldirectplus.com

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.

• Regional Women's Health Group, LLC

  dba Axia Women's Health

  • Obstetrics & Gynecology Physician
  • Voorhees, NJ
  • NPI 1548215536

  Reproductive Endocrinology

  Medicare reassignment NPD
• Regional Womens Health Group LLC

  dba Axia Women's Health

  • Obstetrics & Gynecology Physician
  • Phoenixville, PA
  • NPI 1750880118

  Reproductive Endocrinology

  NPD
• South Jersey Fertility, LLC

  • Reproductive Endocrinology Physician
  • Marlton, NJ
  • NPI 1760367890
  NPD (past)
• Surgical Center of South Jersey Limited Partnership

  dba Fellowship Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Mount Laurel, NJ
  • NPI 1629705231
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1629040365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080430536",
            "telephone_number": "856-435-8362",
            "fax_number": "856-435-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LIPPINCOTT DR",
            "address_2": "SUITE 130",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534161",
            "telephone_number": "856-596-2233",
            "fax_number": "856-596-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEERLIN",
        "first_name": "PETER",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NJ",
            "license": "MA065543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unity Care Medical Group, LLC
• Christina M. Urday, PA-C
• Usrc Marlton, LLC (U.S. Renal Care Marlton Dialysis)
• Neha Vagadia, DO
• Deborah Van Horn, PH.D.
• Vantage Eyecare, LLC
• Andrea Lee Vanvreede, MSSW, LSW
• Vincent Varghese, D.O.
• Andrea Varone, PT
• James R. Varrell, M.D.

• Reproductive Endocrinology Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Reproductive Endocrinology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.