Jeffrey Ross Vandyke, L AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

941-1 Issued in NY

Practice address

433 W 21St St Apt 4C
New York, NY 10011-2909

Phone

(212) 627-0968

NPI assigned

Nov 2, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1831854058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 W 21ST ST APT 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112909",
            "telephone_number": "212-627-0968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W 21ST ST APT 4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112909",
            "telephone_number": "212-627-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYKE",
        "first_name": "JEFFREY",
        "middle_name": "ROSS",
        "credential": "L AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "941-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.jeffvandykemassagetherapynewyork.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "433 W 21st St Apt 4C",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100112909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracy Helen Vandevorde, MS, OTR/L
• Katherine Vandiford, PT, DPT
• Leonardo Vando, MD
• Dennis W. Vandunk III, PA-C
• Lionel Vincent Vanduyne Jr., M.S ED
• Marianna Vandysheva, LMSW
• Sarah Vaneekhout
• Carolyn Vanek
• Alan Vanell, LMHC
• Linda Vanella, LCSW-R

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.