Active NPIIndividual provider

Jennifer E Vilcachagua, PHYSICIAN ASSISTANT

Physician Assistant in Bloomfield, New Jersey

NPI Number1386326700
Practice location
230 Broad St, Bloomfield, NJ 07003-7607
Fax
—
Last updated
September 16, 2025

Jennifer Elizabeth Vilcachagua is a Physician Assistant based in Bloomfield, NJ. Jennifer Elizabeth Vilcachagua practices in Bloomfield, NJ and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Jennifer Elizabeth Vilcachagua is 1386326700 and holds a License No. 25MP00794200 (NJ). The current practice location address for Jennifer Elizabeth Vilcachagua is 230 Broad St, Bloomfield, NJ 07003-7607 and can be reached out via phone at 201-983-4062.

Provider Profile Details

NPI Number
1386326700
Provider Name
Jennifer Elizabeth Vilcachagua
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
230 Broad St, Bloomfield, NJ 07003-7607
Phone Number
201-983-4062
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 4, 2023
Last Update Date
September 16, 2025
Certification Date
September 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
230 Broad St
Bloomfield, NJ 07003-7607
Zip
07003-7607
Phone Number
201-983-4062
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
230 Broad St
Bloomfield, NJ 07003-7607
City
Bloomfield
State
NJ
Zip
07003-7607
Phone Number
201-983-4062

License Information

License Number
25MP00794200
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer E Vilcachagua, PHYSICIAN ASSISTANT?

The NPI number of Jennifer E Vilcachagua, PHYSICIAN ASSISTANT is 1386326700. It was assigned on August 4, 2023 and is currently active in the NPPES registry.

What is the specialty of Jennifer E Vilcachagua, PHYSICIAN ASSISTANT?

Jennifer E Vilcachagua, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00794200.

Where does Jennifer E Vilcachagua, PHYSICIAN ASSISTANT practice?

The practice location is 230 Broad St, Bloomfield, NJ 07003-7607. The office can be reached at 201-983-4062 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386326700 directly on the NPPES registry website.

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