Active NPIIndividual provider

Miss Elizabeth A Vander Valk, PA-C

Physician Assistant in Lake Hopatcong, New Jersey

NPI Number1912672130
Practice location
174 Edison RD, Lake Hopatcong, NJ 07849-2217
Fax
—
Last updated
August 10, 2021

Elizabeth Ann Vander Valk is a Physician Assistant based in Lake Hopatcong, NJ. Elizabeth Ann Vander Valk practices in Lake Hopatcong, NJ and has the professional credentials of PA-C. The NPI Number for Elizabeth Ann Vander Valk is 1912672130 and holds a License No. 25MP00631200 (NJ). The current practice location address for Elizabeth Ann Vander Valk is 174 Edison RD, Lake Hopatcong, NJ 07849-2217 and can be reached out via phone at 973-663-2700.

Provider Profile Details

NPI Number
1912672130
Provider Name
Elizabeth Ann Vander Valk
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
174 Edison RD, Lake Hopatcong, NJ 07849-2217
Phone Number
973-663-2700
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 10, 2021
Last Update Date
August 10, 2021
Certification Date
August 10, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
174 Edison RD
Lake Hopatcong, NJ 07849-2217
Zip
07849-2217
Phone Number
973-663-2700
Lake Hopatcong, NJ 07849Get directions →

Provider Business Mailing Address Details

Address
174 Edison RD
Lake Hopatcong, NJ 07849-2217
City
Lake Hopatcong
State
NJ
Zip
07849-2217
Phone Number
973-663-2700

License Information

License Number
25MP00631200
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · 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 Miss Elizabeth A Vander Valk, PA-C?

The NPI number of Miss Elizabeth A Vander Valk, PA-C is 1912672130. It was assigned on August 10, 2021 and is currently active in the NPPES registry.

What is the specialty of Miss Elizabeth A Vander Valk, PA-C?

Miss Elizabeth A Vander Valk, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00631200.

Where does Miss Elizabeth A Vander Valk, PA-C practice?

The practice location is 174 Edison RD, Lake Hopatcong, NJ 07849-2217. The office can be reached at 973-663-2700 (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 1912672130 directly on the NPPES registry website.

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