Individual provider Active NPI

Jorge Antonio Viera, APN

  • Family Nurse Practitioner
  • Clifton, NJ
National Provider Identifier
1780038356
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00632600 Issued in NJ
Practice address
533 Lexington Ave
Clifton, NJ 07011-1923
Phone
(973) 546-6844
Fax
(973) 546-7707
NPI assigned
Apr 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00632600 NJ Primary

Addresses

Primary practice location

533 Lexington Ave
Clifton, NJ 07011-1923

Mailing address

533 Lexington Ave
Clifton, NJ 07011-1923

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
I20160831000991 NJ Practitioner - Nurse Practitioner 4587950530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHMG - United MedicalGroup PAC ID 5193949865, 28 clinicians

Practice addresses (Care Compare)

533 Lexington Ave
Clifton, NJ 07011-1923
Phone (973) 546-6844

Hospital & facility affiliations

  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00632600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHMG - United Medical CurrentSince Jun 14, 2016 Accepting new patients

Locations

988 Broadway
Ste 202
Bayonne, NJ 07002

988 Broadway
Ste 201
Bayonne, NJ 07002
Phone (201) 339-6111

533 Lexington Ave
Clifton, NJ 07011
Phone (973) 546-6844

612 Rutherford Ave
Lyndhurst, NJ 07071
Phone (200) 460-0063

Interoperability endpoints

  • Direct secure messaging: jviera123913@epicdirect.rwjbh.org

Organizations & group practices 1

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": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1780038356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 LEXINGTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 LEXINGTON AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070111923",
            "telephone_number": "973-546-6844",
            "fax_number": "973-546-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERA",
        "first_name": "JORGE",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00632600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.