Active NPI
Vincent J Vivona, D.O.
- Cardiovascular Disease Physician
- Toms River, NJ
National Provider Identifier
1447368444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MB31605
- Practice address
- 147 Route 37 W
Toms River, NJ 08755-8062 - Phone
- (732) 240-3700
- Fax
- (732) 240-1385
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MB31605 | NJ | Primary |
Addresses
Primary practice location
147 Route 37 W
Toms River, NJ 08755-8062
Mailing address
147 Route 37 W
Toms River, NJ 08755-8062
Phone (732) 240-3700
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15439 | Other | NJ | UNIVERSITY HEALTH PLAN |
| 1K4986 | Other | NJ | HEALTHNET |
| 2311441 | Other | NJ | AETNA |
| P493981 | Other | NJ | OXFORD |
| 0098778000 | Other | NJ | AMERIHEALTH |
| 0325066-004 | Other | NJ | CIGNA |
| 2198732 | Other | NJ | GHI |
| 1392177 | Other | NJ | UNITED HEALTHCARE |
| 1040483 | Other | NJ | HORIZON NJ HEALTH PLAN |
| 221083 | Other | NJ | UNIFORM SERVICE FAMILY |
| 4681002 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB31605 | NJ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Diagnostic Imaging & Therapy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Brick, NJ
- NPI 1710915483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1447368444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 ROUTE 37 W",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087558062",
"telephone_number": "732-240-3700",
"fax_number": "732-240-1385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 ROUTE 37 W",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087558062",
"telephone_number": "732-240-3700",
"fax_number": "732-240-1385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIVONA",
"first_name": "VINCENT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "MB31605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH PLAN",
"identifier": "15439",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1K4986",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2311441",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P493981",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0098778000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0325066-004",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2198732",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1392177",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH PLAN",
"identifier": "1040483",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIFORM SERVICE FAMILY",
"identifier": "221083",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4681002",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.