Organization Active NPI

Vicente NL Mision, M.D. PA

  • Pediatrics Physician
  • Howell, NJ
National Provider Identifier
1659391266
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA038662 Issued in NJ
Legal business name
VICENTE NL MISION, M.D. PA
Practice address
403 Candlewood Commons
Howell, NJ 97731
Phone
(732) 370-1900
Fax
(732) 901-0916
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vicente Nevardo Lozada Mision, M.D.NPI 1013937614
Title
Owner
Phone
(732) 370-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MA038662 NJ Primary

Addresses

Primary practice location

403 Candlewood Commons
Howell, NJ 97731

Mailing address

403 Candlewood Commons
Howell, NJ 97731
Phone (732) 370-1900

Other identifiers 1

IdentifierTypeStateIssuer
4671104MedicaidNJ

National Provider Directory

National Provider Directory

Locations

403 Candlewood Cmns
Howell, NJ 07731
Phone (732) 370-1900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659391266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CANDLEWOOD COMMONS",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "97731",
            "telephone_number": "732-370-1900",
            "fax_number": "732-901-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 CANDLEWOOD COMMONS",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "97731",
            "telephone_number": "732-370-1900",
            "fax_number": "732-901-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICENTE NL MISION, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MISION",
        "authorized_official_first_name": "VICENTE",
        "authorized_official_middle_name": "NEVARDO LOZADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-370-1900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA038662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4671104",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.