John R Varoscak, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

08867 Issued in NJ

Practice address

545 Rte 17 Ste 2007
Ridgewood, NJ 07450-2035

Phone

(212) 581-4646

Fax

(212) 757-0224

NPI assigned

Apr 20, 2007

Last updated

Jan 31, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1902023807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 RTE 17 STE 2007",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502035",
            "telephone_number": "201-447-9700",
            "fax_number": "201-447-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 RTE 17 STE 2007",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502035",
            "telephone_number": "212-581-4646",
            "fax_number": "212-757-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAROSCAK",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "030026",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "08867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "22DI00886700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Van Dyk Healthcare, Inc. (Van Dyk Manor of Ridgewood)
• Daniel R Van Engel, MD
• Kristina Belanus Vande Vrede, PSYD
• Andrew Thomas Vanorden, DPT
• Benita Shaji Varghese
• Vascular and Endovascular Associates of NJ LLC
• Betzaida Vasquez, CNIM
• Jessica Nicole Vasquez, DPT
• Lisa Marie Veenema, P.A.
• Veintopia LLC

• Periodontics in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.