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Dr. Elise W Van Der Jagt

Pediatrician Pediatric Critical Care Doctor

601 Elmwood Ave Box 635
Rochester , New York 14642-0001

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Dr. Elise W Van Der Jagt

Pediatrician Pediatric Critical Care Doctor

601 Elmwood Ave Box 635
Rochester , New York 14642-0001

(585) 275-2352

Write a Review Save Call

Dr. Elise W Van Der Jagt

Pediatrician Pediatric Critical Care Doctor

601 Elmwood Ave Box 635
Rochester , New York 14642-0001

(585) 275-2352 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatrician
  • Pediatric Critical Care Doctor

Languages spoken

  • English

Location

601 Elmwood Ave Box 635 Rochester , New York 14642-0001

First Address

  • Dr. Elise W Van Der Jagt
  • 601 Elmwood Ave Box 635
  • Rochester, NY
  • Zip : 14642-0001
  • Fax : (585) 275-2352
  • Phone : (585) 275-8138

Second Address

  • Dr. Elise W Van Der Jagt
  • 601 Elmwood Ave Box 635
  • Rochester, NY
  • Zip : 14642-0001
  • Fax : (585) 275-2352
  • Phone : (585) 275-8138

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FAQs


Where did Dr. Elise W Van Der Jagt attend graduate school?

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Where did Dr. Elise W Van Der Jagt do his residency?

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Where did Dr. Elise W Van Der Jagt do his fellowship?

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Is Dr. Elise W Van Der Jagt board certified?

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In what state does Dr. Elise W Van Der Jagt practice in?

New York

Where is Dr. Elise W Van Der Jagt ’s practice located?

601 Elmwood Ave Box 635 , Rochester, New York, 14642-0001

What is Dr. Elise W Van Der Jagt ’s gender?

Male

Is Dr. Elise W Van Der Jagt a sole practitioner?

No

Is Dr. Elise W Van Der Jagt accepting new patients?

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What languages does Dr. Elise W Van Der Jagt speak?

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Does Dr. Elise W Van Der Jagt accept insurance?

Yes, Dr. Elise W Van Der Jagt accepts insurance

Does Dr. Elise W Van Der Jagt offers telemedicine?

Dr. Elise W Van Der Jagt has not indicated if he offers telemedicine

What is Dr. Elise W Van Der Jagt ’s professional license number?

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What is Dr. Elise W Van Der Jagt ’s NPI number?

1083650949

Does Dr. Elise W Van Der Jagt have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 208000000X Pediatrician 124938 NY
N 2080P0203X Pediatric Critical Care Doctor 124938 NY

National Provider Identifier

NPI 1083650949
Provider Name Dr. Elise W Van Der Jagt
First Address Rochester, NY 14642-0001
Second Address Rochester, NY 14642-0001
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 21/06/2006
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
00512863 (05) NY
H33597 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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