Active NPI
Jennifer Elizabeth Vilcachagua, PHYSICIAN ASSISTANT
- Physician Assistant
- Bloomfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00794200
- Practice address
- 230 Broad St
Bloomfield, NJ 07003-7607 - Phone
- (201) 983-4062
- NPI assigned
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00794200 | NJ | Primary |
Addresses
Primary practice location
230 Broad St
Bloomfield, NJ 07003-7607
Mailing address
230 Broad St
Bloomfield, NJ 07003-7607
Phone (201) 983-4062
Other practice location 1
35 Ackerman Ave
Clifton, NJ 07011-1501
Phone (973) 928-2880
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Minnisink Rd
Totowa, NJ 07512-1804
Phone (973) 389-5155
24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601
35 Ackerman Ave
Clifton, NJ 07011-1501
Phone (973) 928-2880
46 Union Ave
Cresskill, NJ 07626-2125
Phone (201) 205-2172
Hospital & facility affiliations
- Englewood Hospital and Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00794200 | NJ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desjet LLC | Current | Accepting new patients | |
| St Josephs Medical Group PC | Current | Accepting new patients | |
| Health Express NJ LLC | Past | Accepting new patients |
Locations
230 Broad St
Ste 1
Bloomfield, NJ 07003
Phone (201) 983-4060
35 Ackerman Ave
Clifton, NJ 07011
Phone (973) 519-5070
46 Union Ave
#A
Cresskill, NJ 07626
Phone (201) 399-7695
46 Union Ave
Cresskill, NJ 07626
Phone (201) 205-2172
703 Main St
#G
Paterson, NJ 07503
Phone (973) 754-6331
225 Minnisink Rd
Totowa, NJ 07512
Phone (862) 657-3000
220 Hamburg Tpke
Ste 203
Wayne, NJ 07470
Interoperability endpoints
- jennifer.vilcachagua@direct.digidms.com
- healthexpressnj.jennifervilcachagua@159527.advancedmd-direct.com
Organizations & group practices 5
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.
-
- Personal Emergency Response Attendant
- Clifton, NJ
- NPI 1346694114
-
- Internal Medicine Physician
- Paterson, NJ
- NPI 1205425519
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Urgent Care Clinic/Center
- Newton, NJ
- NPI 1679343248
-
- Urgent Care Clinic/Center
- Newton, NJ
- NPI 1558160812
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1386326700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 BROAD ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070037607",
"telephone_number": "201-983-4062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 BROAD ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070037607",
"telephone_number": "201-983-4062"
}
],
"practiceLocations": [
{
"address_1": "35 Ackerman Ave",
"address_purpose": "LOCATION",
"city": "Clifton",
"state": "NJ",
"postal_code": "070111501",
"country_code": "US",
"telephone_number": "973-928-2880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILCACHAGUA",
"first_name": "JENNIFER",
"middle_name": "ELIZABETH",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-04",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00794200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.