Individual provider Active NPI

Lorrie June Vece, M.D.

  • Pediatrics Physician
  • Teaneck, NJ
National Provider Identifier
1770585689
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA058549 Issued in NJ
Practice address
185 Cedar LN
Suite U 4
Teaneck, NJ 07666-4316
Phone
(201) 836-1919
Fax
(201) 836-5693
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MA058549 NJ Primary

Addresses

Primary practice location

185 Cedar LN
Suite U 4
Teaneck, NJ 07666-4316

Mailing address

185 Cedar LN
Suite U 4
Teaneck, NJ 07666-4316
Phone (201) 836-1919

Other identifiers 1

IdentifierTypeStateIssuer
5267404MedicaidNJ

Other names 1

  • Dr. Lorrie June Dixon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA058549NJMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1770585689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 CEDAR LN",
            "address_2": "SUITE U 4",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664316",
            "telephone_number": "201-836-1919",
            "fax_number": "201-836-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CEDAR LN",
            "address_2": "SUITE U 4",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664316",
            "telephone_number": "201-836-1919",
            "fax_number": "201-836-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VECE",
        "first_name": "LORRIE",
        "middle_name": "JUNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA058549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5267404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRIE",
            "last_name": "DIXON",
            "middle_name": "JUNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.