Vanderyajt, Robert Richard
Vanderyajt, Robert Richard is an sole proprietor health care provider with primary practice located at Plaza 23 225 Route 23, Hamburg NJ 07419. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vanderyajt, Robert Richard can be contacted via phone (973) 823-0300.Contact Information
Primary practice address
Plaza 23 225 Route 23
Hamburg NJ 07419
Phone: (973) 823-0300
Fax: (973) 823-0038
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00441400 | New Jersey |
Profile Details
NPI number | 1164458154 |
---|---|
LBN Legal business name | Vanderyajt, Robert Richard |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 23rd, 2006 |
Last updated | Jan 28th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164458154 | NPPES |
New Jersey | MEDICAID | 1916700 |
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