Rachel Dawn Vanderlaan, MD,PHD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

300560 Issued in NY

Practice address

Newyork-Presbyterian Morgan Stanley Children's Hospital
3959 Broadway Ave Suite: 274
New York, NY 10032

Phone

(212) 305-2688

NPI assigned

Feb 21, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1720611312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W 165TH ST APT B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100327912",
            "telephone_number": "416-262-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEWYORK-PRESBYTERIAN MORGAN STANLEY CHILDREN'S HOSPITAL",
            "address_2": "3959 BROADWAY AVE SUITE: 274",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-305-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLAAN",
        "first_name": "RACHEL",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "MD,PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "300560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Glen Vanderburg, M.D.
• Jaime Vanderburgh
• Kelsey Vandergroef, D.P.T.
• Karen Vanderhorst, SLP
• Shavonn Vanderhorst
• Bryn Vandermark, AGNP-C
• Rachael Marie Vanderminden
• Jillian Nicole Vanderneut, LCSW
• Patricia Irene Vanderploeg, L.P.N.
• Caleb Vanderveen, M.D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York, NY
• Providers in New York, NY by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.