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John Vydareny, MD
NPI 1619958576 · Dermatology Physician · Grand Rapids, MI
John Vydareny, MD is a Dermatology Physician provider in Grand Rapids, MI (NPI 1619958576).
Provider details
- NPI number
- 1619958576
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- JV028722 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
833 Michigan St Ne
Suite 102
Grand Rapids, MI 49503-3523
Phone: (616) 459-1144
Fax: (616) 459-0313
Street-level locationGet directions
Mailing address
833 Michigan St Ne
Grand Rapids, MI 49503-3523
Registry dates
- Enumerated
- 2005-11-08
- Last updated
- 2015-03-16
Frequently asked questions
- What is John Vydareny's NPI number?
- John Vydareny's National Provider Identifier (NPI) is 1619958576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Vydareny's specialty?
- John Vydareny is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is John Vydareny located?
- John Vydareny's practice location on file with NPPES is 833 Michigan St Ne, Grand Rapids, MI 49503-3523.
- What is John Vydareny's phone number?
- The practice phone number listed in the NPPES registry for John Vydareny is (616) 459-1144.
- Is John Vydareny's NPI active?
- Yes — John Vydareny's NPI (1619958576) is active in the NPPES registry as of the last update on 2015-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.