Individual provider Active NPI

Tanya Sofia Vilchez, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • North Arlington, NJ
National Provider Identifier
1487481446
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ15124200 Issued in NJ
Practice address
25 Locust Ave
North Arlington, NJ 07031-5512
Phone
(201) 246-1111
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ15124200 NJ Primary

Addresses

Primary practice location

25 Locust Ave
North Arlington, NJ 07031-5512

Mailing address

25 Locust Ave
North Arlington, NJ 07031-5512
Phone (201) 246-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25 Locust Ave
North Arlington, NJ 07031-5512

816 Kearny Ave
Kearny, NJ 07032-3148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NJ15124200NJMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1487481446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LOCUST AVE",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070315512",
            "telephone_number": "201-246-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LOCUST AVE",
            "city": "NORTH ARLINGTON",
            "state": "NJ",
            "postal_code": "070315512",
            "telephone_number": "201-246-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILCHEZ",
        "first_name": "TANYA",
        "middle_name": "SOFIA",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ15124200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Arlington, NJ

Sources for this page

Verify at the official NPI Registry.