Dima Vicital

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

55 Meadowlands Pkwy
Secaucus, NJ 07094-2977

Phone

(551) 277-4441

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, MI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daniel Korya MD LLC

  • Neurology Physician
  • Secaucus, NJ
  • NPI 1427512722
  Medicare reassignment NPD
• M&L Quality of Life PLC

  • Physical Medicine & Rehabilitation Physician
  • Farmington Hills, MI
  • NPI 1932733383
  Medicare reassignment NPD
• Radius Telemed, LLC

  • Internal Medicine Physician
  • Jersey City, NJ
  • NPI 1821618968
  NPD

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1083218168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CHAPEL HILL RD",
            "city": "LINCOLN PARK",
            "state": "NJ",
            "postal_code": "070351921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MEADOWLANDS PKWY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942977",
            "telephone_number": "551-277-4441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 2nd St Ph 4102",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073027028",
            "country_code": "US",
            "telephone_number": "551-277-4441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "545 Channelside Dr Unit 2508",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336025496",
            "country_code": "US",
            "telephone_number": "551-277-4441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Essex St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076013244",
            "country_code": "US",
            "telephone_number": "551-277-4441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 N Habana Ave Ste 505",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336147120",
            "country_code": "US",
            "telephone_number": "551-277-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICITAL",
        "first_name": "DIMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upright PT LLC
• Vaani Physical Therapy
• Alberto Vargas Jr., CADC
• Visalam Vasanth, DPT
• Vein Centre Fernando Segovia, MD
• Virtual Care LLC
• Virtual Care Management LLC
• Visionary Anesthesia, LLC
• Visionary ASC NJ
• VSD Premier Services

• Professional Counselor in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.