Jaclyn Vinagre, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01002500 Issued in NJ

Practice address

12 E 87TH St
New York, NY 10128-0524

Phone

(201) 359-7557

Fax

(646) 376-5140

NPI assigned

Feb 10, 2020

Last updated

Jan 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bobby Buka, M.D., P.C.

  • Dermatology Physician
  • New York, NY
  • NPI 1134349954
  Medicare reassignment
• Derm Specs of PA PLLC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1528823507
  NPD
• Marmur Dermatology and Cardiology, PLLC

  dba Marmur Medical

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1598043432
  NPD (past)

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1558993386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E 87TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280524",
            "telephone_number": "201-359-7557",
            "fax_number": "646-376-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 87TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280524",
            "telephone_number": "201-359-7557",
            "fax_number": "646-376-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINAGRE",
        "first_name": "JACLYN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01002500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Vilsaint
• Vim Chemist Inc (Vim Drugs Inc)
• Mirnalini Vimal Vimal Nathan
• Marc Vimolratana
• Disha Vin, PT
• Gabriela Vinales
• Manish Vinayak, MD
• Joshua Vinbaytel
• Tracey Lynn Vincel, P.T., MPHTY
• Vincent a. Cipollaro M.D., P.C.

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.