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

Justin Peter Vangrouw

Individual provider Medical Physician Assistant · NPI 1740935048

Justin Peter Vangrouw is a Physician Assistant in Fair Lawn, New Jersey. Qualified in 2021, 5 years ago. Practices with Garden State Orthopaedic Associates, PA, a 16-clinician group.

Years since qualifying
5
In the registry since
2022

Practice location Address checks out

28-04 Broadway
Fair Lawn, NJ 07410-3920
Phone: (201) 791-4434
Fax: (201) 791-3423
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1740935048
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 15, 2022
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022
Mailing address28-04 Broadway, Fair Lawn, NJ 07410-3920

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Garden State Orthopaedic Associates, Pa — 16 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Fair Lawn