Individual provider Active NPI

Viviana Cano

  • Nurse Practitioner
  • Bloomfield, NJ
National Provider Identifier
1649025701
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15049400 Issued in NJ
Practice address
60 Lindbergh Blvd
Bloomfield, NJ 07003-4517
Phone
(954) 675-1595
NPI assigned
Apr 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15049400 NJ Primary

Addresses

Primary practice location

60 Lindbergh Blvd
Bloomfield, NJ 07003-4517

Mailing address

60 Lindbergh Blvd
Bloomfield, NJ 07003-4517
Phone (954) 675-1595

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513002484 NJ Practitioner - Nurse Practitioner 9234570953 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Premier Medical PCGroup PAC ID 4688095367, 13 clinicians

Practice addresses (Care Compare)

55 Mdwlands Pkwy
Secaucus, NJ 07094-2977
Phone (201) 325-6744

Hospital & facility affiliations

  • Hudson Regional Hospital Hospital, Secaucus, NJ, CCN 310118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15049400NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Premier Medical PC CurrentSince Nov 1, 2025 Accepting new patients
G&S Medical Associates LLC CurrentSince May 20, 2024 Accepting new patients

Locations

335 Passaic St
Passaic, NJ 07055
Phone (973) 358-5500

34 Mill St
Paterson, NJ 07501
Phone (973) 341-3782

91 Main St
Paterson, NJ 07505
Phone (973) 358-5500

606 Broadway
Paterson, NJ 07514
Phone (973) 278-8818

295 Broadway
Paterson, NJ 07501
Phone (201) 463-7943

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1649025701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LINDBERGH BLVD",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034517",
            "telephone_number": "954-675-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 LINDBERGH BLVD",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034517",
            "telephone_number": "954-675-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANO",
        "first_name": "VIVIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15049400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

Verify at the official NPI Registry.