DYLAN ROBERT VENDRYES P.A. NPI 1750743894

NPI Information

NPI: 1750743894
Provider Name: DYLAN ROBERT VENDRYES, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
123 SUMMER ST
WORCESTER, MA
ZIP 01608
Phone: (508) 363-5000
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Dylan Robert Vendryes, P.A. is a medical physician assistant in Worcester, MA with 9 years of experience. Dylan Robert Vendryes, P.A. NPI is 1750743894. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

123 SUMMER ST
WORCESTER, MA
ZIP 01608-216
Phone: (508) 363-5000

The NPI 1750743894 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/28/2016 and was last updated on 11/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA5640	MASSACHUSETTS	No
2	363AM0700X	Physician Assistant	Medical	PA5640	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1442973	OTHER	MASSACHUSETTS	DPH CONTROL NUMBER
2	PA5640	OTHER	MASSACHUSETTS	DPH LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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