NPI 1639136559 · live from the CMS NPI Registry
Jack Lawrence Mayer, M.D., FAAP
Pediatrics, Adolescent Medicine in Middlebury, VT. National Provider Identifier 1639136559, active.
NPI record
| NPI | 1639136559 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 44 Collins Dr, Suite 202, Middlebury, VT 05753 |
| Practice phone | 802-388-1338 |
| Enumerated | April 26, 2006 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 042-0004728 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.