Physician Compare National (NPI:1427022607)

HEALTHCARE PROVIDER: JAMES J VANDENBURG III MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1427022607
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799747499
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041103000769
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VANDENBURG
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HUNTERDON PRIMARY CARE PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4486951183
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	45
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	250 ROUTE 28
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 105B
	Group Practice or individual's line 2 address
City	BRIDGEWATER
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	088071979
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9082354135
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310005
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HUNTERDON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y