DR. DON VONGVIPHUT DO NPI 1003356684

NPI Information

  • NPI: 1003356684
  • Provider Name: DR. DON VONGVIPHUT, DO
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3458 NEELY RD
    FLIGHT MEDICINE CLINIC
    JOINT BASE MCGUIRE-DIX-LAKEHURST, NJ
    ZIP 08641
  • Phone: (609) 754-9080

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NPI Details

DR. Don Vongviphut, DO is a general practice in Joint Base Mcguire-dix-lakehurst, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Don Vongviphut, DO NPI is 1003356684. 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:

3458 NEELY RD
FLIGHT MEDICINE CLINIC
JOINT BASE MCGUIRE-DIX-LAKEHURST, NJ
ZIP 08641
Phone: (609) 754-9080

The NPI 1003356684 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 3/2/2017 and was last updated on 3/29/2019.

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
1208D00000XGeneral Practice02005485AINDIANAYes

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
102005485AOTHERINDIANAINDIANA STATE MEDICAL LICENSE

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: 3/30/2025

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