Individual provider Active NPI

Viviana C Brignoni, DMD

  • Periodontics
  • Union, NJ
National Provider Identifier
1356681597
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
07001 Issued in NJ
Practice address
1961 Morris Ave Ste B4
Union, NJ 07083-3519
Phone
(908) 686-0302
NPI assigned
Feb 25, 2013
Last updated
Feb 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02625200 NJ
Periodontics 1223P0300X 07001 NJ Primary

Addresses

Primary practice location

1961 Morris Ave Ste B4
Union, NJ 07083-3519

Mailing address

2 North Rd. Suite C.
Chester, NJ 07930
Phone (908) 879-7709

Other practice location 1

111 E 210th St
Bronx, NY 10467-2401
Phone (787) 413-4024

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171115001745 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1254697857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02625200NJMDGeneral Practice Dentistry
07001NJMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
David Goteiner DDS LLC Periodontics PastSince Feb 11, 2024 Accepting new patients
Joseph P. Prasad Dba Caring Dental Associates General Practice Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1356681597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NORTH RD. SUITE C.",
            "city": "CHESTER",
            "state": "NJ",
            "postal_code": "07930",
            "telephone_number": "908-879-7709",
            "fax_number": "908-879-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1961 MORRIS AVE STE B4",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833519",
            "telephone_number": "908-686-0302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "787-413-4024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGNONI",
        "first_name": "VIVIANA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02625200",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "07001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.