Ms. Cornelia Vandervliet, MA, CCC-A
Audiologist in Newark, New Jersey
1063632354- Practice location
- 140 Bergen St, Level E Room 1700, Newark, NJ 07103
- Phone
- 973-972-9500
- Fax
- 973-972-3923
- Last updated
- December 6, 2007
Cornelia Vandervliet is an Audiologist based in Newark, NJ. Cornelia Vandervliet practices in Newark, NJ and has the professional credentials of MA, CCC-A. The NPI Number for Cornelia Vandervliet is 1063632354 and holds a License No. 41YA00004900 (NJ). The current practice location address for Cornelia Vandervliet is 140 Bergen St, Level E Room 1700, Newark, NJ 07103 and can be reached out via phone at 973-972-9500 and via fax at 973-972-3923.
Provider Profile Details
- NPI Number
- 1063632354
- Provider Name
- Cornelia Vandervliet
- Credential
- MA, CCC-A
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 140 Bergen St, Level E Room 1700, Newark, NJ 07103
- Phone Number
- 973-972-9500
- Fax Number
- 973-972-3923
- Primary Taxonomy
- Audiologist · 231H00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 27, 2007
- Last Update Date
- December 6, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 140 Bergen St
Level E Room 1700
Newark, NJ 07103 - City
- Newark
- State
- New Jersey
- Zip
- 07103
- Phone Number
- 973-972-9500
- Fax Number
- 973-972-3923
Provider Business Mailing Address Details
- Address
- 8 Chanda CT
Clifton, NJ 07012-1936 - City
- Clifton
- State
- NJ
- Zip
- 07012-1936
- Phone Number
- 973-365-0381
License Information
- License Number (1)
- 41YA00004900
- License State (1)
- NJ
- Taxonomy (1)
- Audiologist · 231H00000X · Primary
- License Number (2)
- 25MG00045400
- License State (2)
- NJ
- Taxonomy (2)
- Hearing Instrument Specialist · 237700000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Cornelia Vandervliet, MA, CCC-A?
The NPI number of Ms. Cornelia Vandervliet, MA, CCC-A is 1063632354. It was assigned on April 27, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Cornelia Vandervliet, MA, CCC-A?
Ms. Cornelia Vandervliet, MA, CCC-A is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in NJ under license number 41YA00004900.
Where does Ms. Cornelia Vandervliet, MA, CCC-A practice?
The practice location is 140 Bergen St, Level E Room 1700, Newark, NJ 07103. The office can be reached at 973-972-9500 (phone) or 973-972-3923 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063632354 directly on the NPPES registry website.