Active NPIIndividual providerSole proprietor

Dr. Eric R Von Der Lieth

Chiropractor in Park Ridge, New Jersey

NPI Number1386674752
Practice location
43 Hawthorne Ave, Park Ridge, NJ 07656-1249
Fax
—
Last updated
July 8, 2007

Eric Roy Von Der Lieth is a Chiropractor based in Park Ridge, NJ. Eric Roy Von Der Lieth practices in Park Ridge, NJ. The NPI Number for Eric Roy Von Der Lieth is 1386674752 and holds a License No. 38MC00496900 (NJ). The current practice location address for Eric Roy Von Der Lieth is 43 Hawthorne Ave, Park Ridge, NJ 07656-1249 and can be reached out via phone at 201-505-1600.

Provider Profile Details

NPI Number
1386674752
Provider Name
Eric Roy Von Der Lieth
Provider Entity Type
Individual
Gender
Male
Address
43 Hawthorne Ave, Park Ridge, NJ 07656-1249
Phone Number
201-505-1600
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 3, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
43 Hawthorne Ave
Park Ridge, NJ 07656-1249
Zip
07656-1249
Phone Number
201-505-1600
Park Ridge, NJ 07656Get directions →

Provider Business Mailing Address Details

Address
43 Hawthorne Ave
Park Ridge, NJ 07656-1249
City
Park Ridge
State
NJ
Zip
07656-1249
Phone Number
201-505-1600

License Information

License Number
38MC00496900
License State
NJ
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Eric R Von Der Lieth?

The NPI number of Dr. Eric R Von Der Lieth is 1386674752. It was assigned on July 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Eric R Von Der Lieth?

Dr. Eric R Von Der Lieth is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00496900.

Where does Dr. Eric R Von Der Lieth practice?

The practice location is 43 Hawthorne Ave, Park Ridge, NJ 07656-1249. The office can be reached at 201-505-1600 (phone).

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 1386674752 directly on the NPPES registry website.

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