Individual provider Active NPI

Lindsley Dodd Van Der Veer, MD

  • Gastroenterology Physician
  • Easton, PA
National Provider Identifier
1730133513
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD025006E Issued in PA
Practice address
2025 Fairview Ave
Easton, PA 18042-3915
Phone
(610) 258-3567
Fax
(610) 258-3568
NPI assigned
May 19, 2006
Last updated
Sep 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD025006E PA Primary
Gastroenterology Physician 207RG0100X 25MA04355600 NJ

Addresses

Primary practice location

2025 Fairview Ave
Easton, PA 18042-3915

Mailing address

2025 Fairview Ave
Easton, PA 18042-3915
Phone (610) 258-3567

Other identifiers 1

IdentifierTypeStateIssuer
127646OtherPAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group Inc. Gastroenterology CurrentSince May 1, 2017 Accepting new patients

Locations

700 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 213-0770

2025 Fairview Ave
Easton, PA 18042
Phone (610) 258-3567

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1730133513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 FAIRVIEW AVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423915",
            "telephone_number": "610-258-3567",
            "fax_number": "610-258-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 FAIRVIEW AVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423915",
            "telephone_number": "610-258-3567",
            "fax_number": "610-258-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER VEER",
        "first_name": "LINDSLEY",
        "middle_name": "DODD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD025006E",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA04355600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "127646",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.