Jennifer Ann Vicente, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OM00136600 Issued in NJ

Practice address

1033 Clifton Ave Ste 107
Clifton, NJ 07013-3517

Phone

(973) 472-6405

Fax

(973) 472-6406

NPI assigned

Jun 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

New England College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alessandra Bertolucci MD LLCGroup PAC ID 6709941859, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22072/brand/1/csg/1/fhir/r4

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.

• Alessandra Bertolucci MD LLC

  dba Associated Eye Physicans

  • Ophthalmology Physician
  • Clifton, NJ
  • NPI 1568617330
  Medicare reassignment Care Compare group NPD
• Zufall Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Dover, NJ
  • NPI 1548515091
  Medicare reassignment
• Associated Eye Physicians, P.a.

  • Ophthalmology Physician
  • Clifton, NJ
  • NPI 1396787685
  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1376994277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE STE 107",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133517",
            "telephone_number": "973-472-6405",
            "fax_number": "973-472-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 CLIFTON AVE STE 107",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133517",
            "telephone_number": "973-472-6405",
            "fax_number": "973-472-6406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Lafayette St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071057600",
            "country_code": "US",
            "telephone_number": "973-589-0104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Wanaque Ave",
            "address_purpose": "LOCATION",
            "city": "Pompton Lakes",
            "state": "NJ",
            "postal_code": "074421849",
            "country_code": "US",
            "telephone_number": "973-835-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICENTE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2023-01-16",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011142",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00136600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Vergel
• Julie Anne Vernet
• Leonard Vertsman, DMD
• Maria Vida Montaniel Verzosa, APN
• Aleksandra Veselinovic, D.D.S
• Jean P. Vieira, CRNA
• Jorge Antonio Viera, APN
• Rubia Patricia Viera, MSN-FNP, BC
• Lille Maria Viernes, PT
• Natasha Teresa Vilchez

• Optometrist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.