Elisabeth Maria Vandermeer-Wynkoop, MD-PH.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

195016 Issued in NY

Practice address

646 Prospect Ave
Little Silver, NJ 07739-1568

Phone

(917) 656-1439

NPI assigned

Nov 17, 2006

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

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1750454427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 PROSPECT AVE",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391568",
            "telephone_number": "917-656-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 PROSPECT AVE",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391568",
            "telephone_number": "917-656-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERMEER-WYNKOOP",
        "first_name": "ELISABETH",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD-PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "195016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Little Silver, NJ
• Providers in Little Silver, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.