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
Fax: (973) 823-0038
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164458154 NPPES
New Jersey MEDICAID 1916700

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