Active NPI
Yancy L Van Patten, D.O.
- Family Medicine Physician
- Bordentown, NJ
National Provider Identifier
1750536033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MB08874600
- Practice address
- One Third Street
Bordentown, NJ 08505-1321 - Phone
- (609) 298-2005
- Fax
- (609) 324-8267
- NPI assigned
- Nov 30, 2008
- Last updated
- Aug 1, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB08874600 | NJ | Primary |
Addresses
Primary practice location
One Third Street
Bordentown, NJ 08505-1321
Mailing address
P.O. Box 8500-2946
Phialdelphia, PA 19178-2946
Phone (609) 815-7810
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 Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Physicians Group, PC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Mercerville, NJ
- NPI 1417904087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1750536033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 8500-2946",
"city": "PHIALDELPHIA",
"state": "PA",
"postal_code": "191782946",
"telephone_number": "609-815-7810",
"fax_number": "609-815-7814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE THIRD STREET",
"city": "BORDENTOWN",
"state": "NJ",
"postal_code": "085051321",
"telephone_number": "609-298-2005",
"fax_number": "609-324-8267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN PATTEN",
"first_name": "YANCY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-30",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB08874600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bordentown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.