Active NPI
Viviana C Brignoni, DMD
- Periodontics
- Union, NJ
National Provider Identifier
1356681597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 07001
- Practice address
- 1961 Morris Ave Ste B4
Union, NJ 07083-3519 - Phone
- (908) 686-0302
- NPI assigned
- Feb 25, 2013
- Last updated
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171115001745 | NJ | Order and Referring Only - Oral Surgery | 1254697857 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02625200 | NJ | MD | General Practice Dentistry |
| 07001 | NJ | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Goteiner DDS LLC | Periodontics | Past | 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.
-
- Periodontics
- Chester, NJ
- NPI 1164591145
-
- General Practice Dentistry
- Union, NJ
- NPI 1801956628
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.