Active NPI
Lawrence G Van Horn MD PA
- Specialist
- Wall Township, NJ
National Provider Identifier
1881676039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA67736
- Legal business name
- LAWRENCE G VAN HORN MD PA
- Practice address
- 3350 Highway 138
Building 1 Suite 115
Wall Township, NJ 07719-9693 - Phone
- (732) 280-8088
- Fax
- (732) 280-8801
- NPI assigned
- Nov 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence Gordon Van Horn, M D
- Title
- Officer
- Phone
- (732) 280-8088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA67736 | NJ | Primary |
Addresses
Primary practice location
3350 Highway 138
Building 1 Suite 115
Wall Township, NJ 07719-9693
Mailing address
3350 Highway 138
Building 1 Suite 115
Wall Township, NJ 07719-9693
Phone (732) 280-8088
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184198400000",
"number": "1881676039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 HIGHWAY 138",
"address_2": "BUILDING 1 SUITE 115",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077199693",
"telephone_number": "732-280-8088",
"fax_number": "732-280-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 HIGHWAY 138",
"address_2": "BUILDING 1 SUITE 115",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "077199693",
"telephone_number": "732-280-8088",
"fax_number": "732-280-8801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE G VAN HORN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-15",
"last_updated": "2007-07-12",
"status": "A",
"authorized_official_last_name": "VAN HORN",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "GORDON",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "732-280-8088",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M D"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "MA67736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wall Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.