Individual provider Active NPI

Andres Vinuela, M.D.

  • Specialist
  • Jersey City, NJ
National Provider Identifier
1649539479
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MAO9871500 Issued in NJ
Practice address
221 Palisade Ave
Jersey City, NJ 07306-2709
Phone
(646) 799-0088
Fax
(201) 656-3116
NPI assigned
May 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 25MAO9871500 NJ Primary

Addresses

Primary practice location

221 Palisade Ave
Jersey City, NJ 07306-2709

Mailing address

10 Barclay St Apt 33G
New York, NY 10007-2715
Phone (646) 799-0088

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MAO9871500NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Hospital Opco LLC Current Accepting new patients
NJ Behavioral Care Inc. Single Specialty PastSince Nov 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andres.vinuela@direct.christhospital.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1649539479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BARCLAY ST APT 33G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100072715",
            "telephone_number": "646-799-0088",
            "fax_number": "201-656-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 PALISADE AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062709",
            "telephone_number": "646-799-0088",
            "fax_number": "201-656-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINUELA",
        "first_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MAO9871500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.