Individual provider Active NPI

Vivian S Lo, MD

  • Obstetrics & Gynecology Physician
  • West Orange, NJ
National Provider Identifier
1144381872
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA06872 Issued in NJ
Practice address
520 Pleasant Valley Way
West Orange, NJ 07052-2802
Phone
(973) 669-5711
Fax
(973) 669-5722
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA06872 NJ Primary

Addresses

Primary practice location

520 Pleasant Valley Way
West Orange, NJ 07052-2802

Mailing address

227 Laurel Rd
Ste 300
Voorhees, NJ 08043-8303
Phone (856) 669-6050

Other identifiers 4

IdentifierTypeStateIssuer
7427382OtherAETNA
P2733240OtherOXFORD
5000988003OtherCIGNA
2K8170OtherPHS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050131000468 NJ Practitioner - Obstetrics/Gynecology 8527018209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

520 Pleasant Valley Way
Women 1St HLTH Ctr
West Orange, NJ 07052-2802
Phone (973) 669-5711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA06872NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology CurrentSince Jul 16, 2012 Accepting new patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Jul 16, 2012 Accepting new patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology Past Accepting new patients
Women First Health Center, LLC Past Accepting new patients

Locations

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

22 Old Short Hills Rd
Ste 204
Livingston, NJ 07039
Phone (973) 533-0001

312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552

188 Eagle Rock Ave
Ste 2
Roseland, NJ 07068
Phone (973) 669-5711

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

520 Pleasant Valley Way
Ste 1
West Orange, NJ 07052
Phone (973) 669-5711

Interoperability endpoints

  • Direct secure messaging: vivian.lo@axia.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1144381872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 LAUREL RD",
            "address_2": "STE 300",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080438303",
            "telephone_number": "856-669-6050",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522802",
            "telephone_number": "973-669-5711",
            "fax_number": "973-669-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "VIVIAN",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA06872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7427382",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2733240",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5000988003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "2K8170",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.