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

Mr. Maurice Alan Vanderhall, PA

Individual provider Surgical Physician Assistant · NPI 1831290782

Mr. Maurice Alan Vanderhall, PA is a Surgical Physician Assistant in Jamaica, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8268 164th St
Jamaica, NY 11432-1121
Phone: (718) 883-3225
Fax: (718) 883-6193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 010466 (NY)

Record details

NPI number1831290782
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJuly 8, 2007

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