Sandra Vincent

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NP06627700 Issued in NJ

Practice address

176 Hillside Ave # 2
Hillside, NJ 07205-1848

Phone

(908) 764-9896

NPI assigned

Jan 15, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1467223735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 HILLSIDE AVE # 2",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051848",
            "telephone_number": "908-764-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 HILLSIDE AVE # 2",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072051848",
            "telephone_number": "908-764-9896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Hillside Ave # 2",
            "address_purpose": "LOCATION",
            "city": "Hillside",
            "state": "NJ",
            "postal_code": "072051848",
            "country_code": "US",
            "telephone_number": "908-764-9896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NJ",
            "license": "26NP06627700",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP06627700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Tobin, PH.D.
• Township of Hillside
• Township of Hillside Fire Dept
• Upscale Medical Transportation
• Angela Vidal-Burke, MD
• Walgreen Co (Walgreens #16260)
• Maisha Lo-Rain Walters
• Jessica Charise Webb
• Julita Wilson-Reid, APN
• Fay Corrine Wiltshire

• Licensed Practical Nurse in Hillside, NJ
• Providers in Hillside, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.