MR. MAURICE ALAN VANDERHALL PA
NPI 1831290782
Physician Assistant - Surgical in Jamaica, NY

Active since September 25, 2006PECOS Enrolled
8268 164TH ST, JAMAICA, NY 11432(718) 883-3225(718) 883-6193 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Maurice Alan Vanderhall Pa NPPES

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

MR. MAURICE ALAN VANDERHALL PA (NPI 1831290782) is an individual surgical provider in Jamaica, New York, licensed in New York (010466) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831290782
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. MAURICE ALAN VANDERHALLCredential: PA
Location Address8268 164TH STJamaica, NY 11432-1121
Mailing Address7901 Broadway, Managed Care D101Elmhurst, NY 11373-1329 · (718) 334-1921 · Fax (718) 334-3432
Fax(718) 883-6193
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1831290782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 010466
8268 164TH ST, Jamaica, NY 11432

Other Identifiers 2

Medicaid00246075NY
Medicare ID-Type Unspecified00330231NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Maurice Alan Vanderhall Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
8268 164TH ST
JAMAICA, NY 11432
Physician Assistant (Medical)
8268 164TH ST, ROOM A531
JAMAICA, NY 11432
Social Worker
8268 164TH ST
JAMAICA, NY 11432
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Psychiatry & Neurology (Child & Adolescent Psychiatry)
8268 164TH ST
JAMAICA, NY 11432
Physician Assistant
8268 164TH ST
JAMAICA, NY 11432
Psychologist (Clinical Child & Adolescent)
8268 164TH ST
JAMAICA, NY 11432

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 Maurice Vanderhall's NPI number?

The NPI number for Maurice Vanderhall is 1831290782. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Maurice Vanderhall located?

Maurice Vanderhall practices at 8268 164th St, Jamaica, NY 11432. The listed phone number is (718) 883-3225.

What is Maurice Vanderhall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Maurice Vanderhall enrolled in Medicare?

Yes. Maurice Vanderhall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maurice Vanderhall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.