Active NPI
Lindsley Dodd Van Der Veer, MD
- Gastroenterology Physician
- Easton, PA
National Provider Identifier
1730133513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD025006E
- 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, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127646 | Other | PA | MEDICARE |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group Inc. | Gastroenterology | Current | 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.
-
- Gastroenterology Physician
- Easton, PA
- NPI 1780733816
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": []
}
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- Valley Youth House Committe, Inc.
- Kevin David Valvano, D.O.
- Claire Van Horn, MS, RD, LDN
- Shannon Van-Spanje
- Breanne Vanderbilt, MA
- Susan Vanderdecker
- Damaris Vanderhall, LCSW
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.