Vivian Villalobos DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VIVIAN VILLALOBOS DDS PA

Practice address

4801-07 Bergenline Ave
Union City, NJ 07087

Phone

(201) 865-6740

Fax

(201) 865-6739

NPI assigned

Mar 1, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrea Inga

Title

Office Manager

Phone

(201) 865-6740

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vivian Villalobos DDS PA Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vivian C Villalobos, DDS

  • Dentist
  • Union City, NJ
  • NPI 1538352992
  NPD
• Gloria S. Park, DMD

  • General Practice Dentistry
  • Suffern, NY
  • NPI 1720655848
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1043919863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801-07 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "07087",
            "telephone_number": "201-865-6740",
            "fax_number": "201-865-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801-07 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "07087",
            "telephone_number": "201-865-6740",
            "fax_number": "201-865-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIAN VILLALOBOS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "INGA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-865-6740"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4996500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vivian Villalobos DDS PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ashish Vora, PHARM.D
• Suzanne E Wagner
• Walgreen Co
• Walgreen Co
• Walgreen Co

• Dental Clinic/Center in Union City, NJ
• Providers in Union City, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.