Individual provider Active NPI

Maria Nieves Vila, D.O.

  • Family Medicine Physician
  • Morristown, NJ
National Provider Identifier
1255534673
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB08243800 Issued in NJ
Practice address
435 South Street
S. 160
Morristown, NJ 07960
Phone
(973) 971-4686
Fax
(973) 290-7085
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS014214 PA
Family Medicine Physician 207Q00000X 25MB08243800 NJ Primary

Addresses

Primary practice location

435 South Street
S. 160
Morristown, NJ 07960

Mailing address

435 South Street S. 160
Morristown, NJ 07960
Phone (973) 971-4686

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
I20070830000192 NJ Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 8628161015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of EssexGroup PAC ID 7214837061, 11 clinicians

Practice addresses (Care Compare)

204 Grove Ave
Cedar Grove, NJ 07009-1436
Phone (973) 571-2833

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS014214PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Essex Current Accepting new patients
County of Essex CurrentSince Mar 25, 2019 Accepting new patients
County of Essex Current Accepting new patients
County of Essex CurrentSince Mar 25, 2019 Accepting new patients

Locations

204 Grove Ave
Cedar Grove, NJ 07009
Phone (973) 571-2800

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1255534673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 SOUTH STREET S. 160",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-971-4686",
            "fax_number": "973-290-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 SOUTH STREET",
            "address_2": "S. 160",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "07960",
            "telephone_number": "973-971-4686",
            "fax_number": "973-290-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILA",
        "first_name": "MARIA",
        "middle_name": "NIEVES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014214",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08243800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.