Organization Active NPI

Lawrence G Van Horn MD PA

  • Specialist
  • Wall Township, NJ
National Provider Identifier
1881676039
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA67736 Issued in NJ
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

Updated by the provider on Jul 12, 2007

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.