Individual provider Active NPI

Jennifer Elizabeth Vilcachagua, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Bloomfield, NJ
National Provider Identifier
1386326700
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00794200 Issued in NJ
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

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905002027 NJ Practitioner - Physician Assistant 0143683441 Reassigns benefits to 4 organizations

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
St Josephs Medical Group PCGroup PAC ID 8628470325, 217 clinicians
Medical Associates of Englewood PCGroup PAC ID 1355512252, 538 clinicians
Desjet LLCGroup PAC ID 7618263450, 6 clinicians

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 Hospital, Englewood, NJ, CCN 310045

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00794200NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Desjet LLC CurrentSince Jul 26, 2025 Accepting new patients
St Josephs Medical Group PC CurrentSince Dec 13, 2025 Accepting new patients
Health Express NJ LLC PastSince Mar 20, 2025 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

  • Direct secure messaging: jennifer.vilcachagua@direct.digidms.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.