Active NPI
Svetlana Vigdorchik, BCBA
- Behavior Analyst
- Fort Lee, NJ
National Provider Identifier
1669961991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-9-5326
- Practice address
- 1564 Lemoine Ave
Fort Lee, NJ 07024-5635 - Phone
- (201) 849-5797
- NPI assigned
- May 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-9-5326 | NJ | Primary |
Addresses
Primary practice location
1564 Lemoine Ave
Fort Lee, NJ 07024-5635
Mailing address
1512 Palisade Ave Apt 11L
Fort Lee, NJ 07024-5314
Phone (201) 849-5797
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Mental Health P C | Single Specialty | Current | Accepting new patients |
| Metropolitan Mental Health PC | Single Specialty | Current | Accepting new patients |
Locations
1564 Lemoine Ave
Fort Lee, NJ 07024
Phone (201) 794-9797
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": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1669961991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 PALISADE AVE APT 11L",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245314",
"telephone_number": "201-849-5797",
"fax_number": "201-254-8095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1564 LEMOINE AVE",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070245635",
"telephone_number": "201-849-5797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIGDORCHIK",
"first_name": "SVETLANA",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "NJ",
"license": "1-9-5326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.