Van P Vinciguerra, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

270A00430600 Issued in NJ

Practice address

300 Tice Boulevard
Suite 106
Woodcliff Lake, NJ 07677

Phone

(201) 782-1700

Fax

(201) 782-1749

NPI assigned

Aug 27, 2005

Sex

Male

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

Illinois College of Optometry at Chicago, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woodcliff Lake Ophthalmology, LLP.Group PAC ID 1456495589, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vvinciguerra@bergeneye.intellechartdirect.net

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.

• Dr Van Vinciguerra Optometry, P.C.

  • Optometrist
  • Cliffside Park, NJ
  • NPI 1255008512
  Medicare reassignment NPD Authorized official
• Woodcliff Lake Ophthalmology, LLP.

  • Ophthalmology Physician
  • Woodcliff Lake, NJ
  • NPI 1972785863
  Medicare reassignment Care Compare group NPD
• Woodcliff Lake Optical LLC

  • Optometrist
  • Woodcliff Lake, NJ
  • NPI 1548975030
  NPD
• Insight Optical Inc.

  • Durable Medical Equipment & Medical Supplies
  • Cliffside Park, NJ
  • NPI 1679743249
  NPD (past)

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

{
    "created_epoch": "1125100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1467445171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TICE BOULEVARD",
            "address_2": "SUITE 106",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "07677",
            "telephone_number": "201-782-1700",
            "fax_number": "201-782-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TICE BOULEVARD",
            "address_2": "SUITE 106",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "07677",
            "telephone_number": "201-782-1700",
            "fax_number": "201-782-1749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 Anderson Ave",
            "address_purpose": "LOCATION",
            "city": "Cliffside Park",
            "state": "NJ",
            "postal_code": "070102137",
            "country_code": "US",
            "telephone_number": "201-313-0303",
            "fax_number": "201-313-9461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCIGUERRA",
        "first_name": "VAN",
        "middle_name": "P",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-27",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "4306",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00430600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor M Van Wyk, LPN
• Dorothy Vanslyke, APN
• Kellie Madison Vaughn, LSW, LMSW
• Linda M. Vero, D.C.N., MA, RD, CDE
• Verus Therapy, LLC
• Vitruvian Dental Corporation
• Arthur Weinberg, DDS
• Wellness Express
• Wendy Lynn Polhemus
• Nancy Wernikoff

• Optometrist in Woodcliff Lake, NJ
• Providers in Woodcliff Lake, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.