Dylan Garrett Vance, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

25MA13011400 Issued in NJ

Practice address

20 Prospect Ave Ste 613
Hackensack, NJ 07601-1962

Phone

(201) 489-6520

Fax

(551) 228-7606

NPI assigned

Mar 25, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Drexel University College of Medicine, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hackensack Meridian Health Medical Group - Specialty Care PC

  • Surgical Critical Care Physician
  • Red Bank, NJ
  • NPI 1215989249
  Medicare reassignment
• Ut Physicians

  • Health Educator
  • Houston, TX
  • NPI 1316534472
  NPD (past)

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1881271997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 WINDSOR CT",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343444",
            "telephone_number": "973-970-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PROSPECT AVE STE 613",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011962",
            "telephone_number": "201-489-6520",
            "fax_number": "551-228-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6431 Fannin St Ste Msb 5036",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301501",
            "country_code": "US",
            "telephone_number": "713-486-5000",
            "fax_number": "713-383-1410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANCE",
        "first_name": "DYLAN",
        "middle_name": "GARRETT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA13011400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nilda Natasha Valenzuela, MD
• Eudoro Vallejo, D.M.D.
• Vallejo A Vallejo, RPH
• Jordan Grant Van Beever, M.D.
• Nancy Van Buitenen, CCRN APN C
• Kelsey Vander Werff, ATC
• Luis Varela, MD
• Joselin M. Vargas-Rodriguez, M.D
• Geraldine Vargas, APN
• Ambily Varughese, MS-CCC-SLP

• Otolaryngology Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Otolaryngology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.