Gary Vander Vliet DMD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GARY VANDER VLIET DMD

Practice address

486 Schooleys Mountain Rd Ste 10
Hackettstown, NJ 07840-4000

Phone

(908) 852-8858

Fax

(908) 852-2249

NPI assigned

Mar 28, 2017

Last updated

Mar 28, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gary Vander Vliet, DMD MAGDNPI 1861415150

Title

Owner

Phone

(908) 852-8858

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary Vander Vliet, DMD

  • General Practice Dentistry
  • Hackettstown, NJ
  • NPI 1861415150
  Authorized official Same address or phone

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1811429152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 SCHOOLEYS MOUNTAIN RD STE 10",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404000",
            "telephone_number": "908-852-8858",
            "fax_number": "908-852-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 SCHOOLEYS MOUNTAIN RD STE 10",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404000",
            "telephone_number": "908-852-8858",
            "fax_number": "908-852-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY VANDER VLIET DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "VANDER VLIET",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-852-8858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MAGD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boris Freyman, DO
• Emmanuel Joseph Fridman, PHARMD
• Michele Fuzia
• Sheri A Fuzia, PT, MPT
• Robert Joseph Gallagher, RPH
• Jana Lynn Gebhard, MSPT
• General Conference of Seventh Day Adventist Hackettstown Community Hos (Hackettstown Medical Center)
• General Conference of Seventh Day Adventist Hackettstown Community Hos (Hackettstown Medical Center)
• Victor Gerard Gentile, M.D.
• Jenna Georgia, MS, OTR/L

• Durable Medical Equipment & Medical Supplies in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.