| David D. Vanslooten,m.d.,p.a. | |
|
99 Kinderkamack Rd Ste 307 Westwood NJ 07675-3021 | |
| (201) 261-6222 | |
| (201) 261-4411 |
| Full Name | David D. Vanslooten,m.d.,p.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 99 Kinderkamack Rd Ste 307, Westwood, New Jersey |
| Authorized Official Name and Position | David D. Van Slooten (PRESIDENT) |
| Authorized Official Contact | 2012616222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David D. Vanslooten,m.d.,p.a. 99 Kinderkamack Rd Ste 307 Westwood NJ 07675-3021 Ph: (201) 261-6222 | David D. Vanslooten,m.d.,p.a. 99 Kinderkamack Rd Ste 307 Westwood NJ 07675-3021 Ph: (201) 261-6222 |
| NPI Number | 1972676401 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 02/01/2024 |
| Certification Date | 08/22/2023 |
| Medicare PECOS PAC ID | 5294766267 |
|---|---|
| Medicare Enrollment ID | O20050830000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972676401 | NPI | - | NPPES |
| 5201608 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Patricia Gorman Klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720048648 PECOS PAC ID: 1456459239 Enrollment ID: I20100503000415 |
| Provider Name | Lorraine Lira |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649354119 PECOS PAC ID: 8820029895 Enrollment ID: I20110318000014 |
| Provider Name | David Dennis Van Slooten |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639251218 PECOS PAC ID: 4981506136 Enrollment ID: I20110325000489 |
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