NPIMap

Organization Active NPI

Wilmington Vamc

  • VA Clinic/Center
  • Rio Grande, NJ
National Provider Identifier
1720131287
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
WILMINGTON VAMC
Practice address
3801 Route 9 S Ste 2
Rio Grande, NJ 08242-1915
Phone
(717) 277-6568
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Erin Potter
Title
Npi Team Member
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

3801 Route 9 S Ste 2
Rio Grande, NJ 08242-1915

Mailing address

PO Box 94429
Cleveland, OH 44101-4429
Phone (717) 277-6568

Other names 1

  • RIO GRANDE VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Department of Veterans Affairs9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3801 Route 9 S
Ste 2
Rio Grande, NJ 08242

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1720131287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94429",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014429",
            "telephone_number": "717-277-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 ROUTE 9 S STE 2",
            "city": "RIO GRANDE",
            "state": "NJ",
            "postal_code": "082421915",
            "telephone_number": "717-277-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM MEMBER",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIO GRANDE VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rio Grande, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.