DR. J NICHOLAS VANDEMOER M.D.
NPI 1245432772
Specialist in Centerville, MA

Q: What is J Vandemoer's NPI number?

The NPI number for J Vandemoer is 1245432772. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Q: What is J Vandemoer's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for J Vandemoer was last updated on October 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 05, 2007

49 LAKESIDE DR E, CENTERVILLE, MA 02632(508) 771-8017 Get Directions Write a Review

NPPES record last updated: October 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. J Nicholas Vandemoer M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. J NICHOLAS VANDEMOER M.D. (NPI 1245432772) is an individual specialist in Centerville, Massachusetts, licensed in Massachusetts (36521) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1245432772

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. J NICHOLAS VANDEMOERCredential: M.D.

Location Address49 LAKESIDE DR ECenterville, MA 02632-1834

Mailing Address68 Camp StHyannis, MA 02601-3048 · (508) 775-7026

Phone(508) 771-8017

Sole ProprietorYes

Enumeration DateJune 5, 2007

Last NPPES UpdateOctober 27, 2019

✔ NPI 1245432772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MA · 36521

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

49 LAKESIDE DR E, Centerville, MA 02632

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Other Identifiers 1

Medicaid2021455MA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is J Vandemoer's NPI number?

The NPI number for J Vandemoer is 1245432772. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is J Vandemoer located?

J Vandemoer practices at 49 Lakeside Dr E, Centerville, MA 02632. The listed phone number is (508) 771-8017.

What is J Vandemoer's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for J Vandemoer was last updated on October 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.