Active NPI
Florencio Vinalon Llacuna Jr., MD
- Internal Medicine Physician
- Clifton, NJ
National Provider Identifier
1710047733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA05807300
- Practice address
- 1100 Clifton Avenue
Clifton, NJ 07013 - Phone
- (973) 594-8444
- Fax
- (973) 773-4491
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA05807300 | NJ | Primary |
Addresses
Primary practice location
1100 Clifton Avenue
Clifton, NJ 07013
Mailing address
1100 Clifton Avenue
Clifton, NJ 07013
Phone (973) 594-8444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5598109 | Medicaid | NJ |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050622000043 | NJ | Practitioner - Internal Medicine | 5294770194 | Practice locations: Clifton, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1100 Clifton Ave
Clifton, NJ 07013-3631
Phone (973) 812-1879
Hospital & facility affiliations
- Adoration Home Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05807300 | NJ | MD | Internal Medicine Physician |
Interoperability endpoints
- florenciollacuna@ermd.allscriptsdirect.net
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Clifton, NJ
- NPI 1013999382
-
- Community Based Hospice Care Agency
- Passaic, NJ
- NPI 1144280017
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710047733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 CLIFTON AVENUE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "07013",
"telephone_number": "973-594-8444",
"fax_number": "973-773-4491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CLIFTON AVENUE",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "07013",
"telephone_number": "973-594-8444",
"fax_number": "973-773-4491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLACUNA",
"first_name": "FLORENCIO",
"middle_name": "VINALON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA05807300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5598109",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.