Individual provider Active NPI

Victoria Regina Bueschen, PA-C

  • Physician Assistant
  • Paramus, NJ
National Provider Identifier
1609399427
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00446600 Issued in NJ
Practice address
499 N Rte 17
Paramus, NJ 07652-3001
Phone
(551) 497-5677
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY
Physician Assistant 363A00000X 25MP00446600 NJ Primary

Addresses

Primary practice location

499 N Rte 17
Paramus, NJ 07652-3001

Mailing address

113 Sutton Dr
Berkeley Heights, NJ 07922-2510
Phone (908) 723-5596

Other practice location 1

113 Sutton Dr
Berkeley Heights, NJ 07922-2510
Phone (908) 723-5596

Other names 1

  • Victoria Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171107000484 NJ Practitioner - Physician Assistant 8820354962 Reassigns benefits to 4 organizations
I20191030002246 NY Practitioner - Physician Assistant 8820354962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021048NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Nov 25, 2021 Accepting new patients
Summit Medical Group PA CurrentSince Nov 25, 2021 Accepting new patients
City Medical of Upper East Side, PLLC Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

499 N Route 17
Paramus, NJ 07652
Phone (551) 497-5677

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1609399427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SUTTON DR",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222510",
            "telephone_number": "908-723-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 N RTE 17",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523001",
            "telephone_number": "551-497-5677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Sutton Dr",
            "address_purpose": "LOCATION",
            "city": "Berkeley Heights",
            "state": "NJ",
            "postal_code": "079222510",
            "country_code": "US",
            "telephone_number": "908-723-5596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUESCHEN",
        "first_name": "VICTORIA",
        "middle_name": "REGINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00446600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "CLARK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.