Individual provider Active NPI

Victor Herrera, FNP

  • Family Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1821971862
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15503300 Issued in NJ
Practice address
76 Prospect St
Newark, NJ 07105-1881
Phone
(973) 334-4131
NPI assigned
Jul 28, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 26NJ15503300 NJ Primary

Addresses

Primary practice location

76 Prospect St
Newark, NJ 07105-1881

Mailing address

76 Prospect St
Newark, NJ 07105-1881
Phone (973) 334-4131

Other names 1

  • Victor Herrera Former name

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
I20260216000788 NJ Practitioner - Nurse Practitioner 5294215695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Eduardo Samaniego - Primary Medical Care LLCGroup PAC ID 8921383381, 3 clinicians

Practice addresses (Care Compare)

76 Prospect St
Suite 1
Newark, NJ 07105-1881
Phone (973) 333-4480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15503300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Eduardo Samaniego - Primary Medical Care LLC Single Specialty CurrentSince Jan 7, 2026 Accepting new patients

Locations

76 Prospect St
Ste 1
Newark, NJ 07105
Phone (973) 333-4480

76 Prospect St
Newark, NJ 07105
Phone (201) 991-4544

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.

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1821971862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 PROSPECT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051881",
            "telephone_number": "973-334-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 PROSPECT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051881",
            "telephone_number": "973-334-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "VICTOR",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-28",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15503300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTOR",
            "last_name": "HERRERA",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.