Active NPIIndividual providerSole proprietor

Virgilio C Vicente, MD

Pediatrics in Newark, New Jersey

NPI Number1780790998
Practice location
155 Jefferson St, Suite # 3, Newark, NJ 07105-1706
Fax
973-466-1117
Last updated
August 25, 2016

Virgilio Coronado Vicente is a Pediatrics based in Newark, NJ. Virgilio Coronado Vicente practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Virgilio Coronado Vicente is 1780790998 and holds a License No. 25MA06381500 (NJ). The current practice location address for Virgilio Coronado Vicente is 155 Jefferson St, Suite # 3, Newark, NJ 07105-1706 and can be reached out via phone at 973-466-0300 and via fax at 973-466-1117.

Provider Profile Details

NPI Number
1780790998
Provider Name
Virgilio Coronado Vicente
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
155 Jefferson St, Suite # 3, Newark, NJ 07105-1706
Phone Number
973-466-0300
Fax Number
973-466-1117
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
August 21, 2006
Last Update Date
August 25, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
155 Jefferson St
Suite # 3
Newark, NJ 07105-1706
City
Newark
Zip
07105-1706
Phone Number
973-466-0300
Fax Number
973-466-1117
Newark, NJ 07105Get directions →

Provider Business Mailing Address Details

Address
Po Box 254
West Orange, NJ 07052-0254
City
West Orange
State
NJ
Zip
07052-0254
Phone Number
973-466-0300
Fax Number
973-466-1117

License Information

License Number
25MA06381500
License State
NJ
Taxonomy
Pediatrics · 208000000X · 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 Virgilio C Vicente, MD?

The NPI number of Virgilio C Vicente, MD is 1780790998. It was assigned on August 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Virgilio C Vicente, MD?

Virgilio C Vicente, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA06381500.

Where does Virgilio C Vicente, MD practice?

The practice location is 155 Jefferson St, Suite # 3, Newark, NJ 07105-1706. The office can be reached at 973-466-0300 (phone) or 973-466-1117 (fax).

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 1780790998 directly on the NPPES registry website.

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