Robert Vanderleest, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G46075 Issued in CA

Practice address

800 E Broward Blvd
Suite 507
Fort Lauderdale, FL 33301-2008

Phone

(954) 763-4331

NPI assigned

Oct 25, 2006

Last updated

Jan 15, 2014By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Robert J. Van Der Leest MD, Inc.

  • Dermatology Physician
  • Fort Lauderdale, FL
  • NPI 1215359872
  Authorized official Same address or phone

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1639254394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CREEK DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940255317",
            "telephone_number": "650-324-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E BROWARD BLVD",
            "address_2": "SUITE 507",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012008",
            "telephone_number": "954-763-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLEEST",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G46075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G460750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emelyn Van Uden Manjarres, MD
• Cindy Van, CRNA
• Angie Vanbemden, PHD, ATC, CSCS
• Mark Vandenberg
• Anita Renee Vander Heyden, MD
• Kristen Vanderlely, M.S., ITDS
• Marjan Vandevar, D.O.
• Vanguard Catheterization Lab
• Vanguard Medical Associates of South Florida PA
• Vanguard Medical Group LLC (Broward Primary Care)

• Dermatology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.