Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacob Tyler Vanvorst, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942950589

Dr. Jacob Tyler Vanvorst, DO is a Student in an Organized Health Care Education/Training Program in Norwalk, Connecticut. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

34 Maple St
Norwalk, CT 06850-3894
Phone: (203) 852-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Atwell Rd, Cooperstown, NY 13326-1301 — (518) 852-4294

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1942950589
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 26, 2022
Last updated in NPPESMarch 28, 2023
Certification dateMarch 28, 2023
Mailing address105 Saddlebrook Ln, Scotia, NY 12302-9535

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