Marifel B. Vidal, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ01160200 Issued in NJ

Practice address

859 Summit Ave
Jersey City, NJ 07307-3835

Phone

(973) 692-5772

NPI assigned

Jun 6, 2021

Last updated

Jun 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marc GoldsteinGroup PAC ID 2264419217, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hackensack Meridian JFK at Home Home health agency, Iselin, NJ, CCN 317059

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marc Goldstein

  • Geriatric Medicine (Internal Medicine) Physician
  • North Bergen, NJ
  • NPI 1558347583
  Medicare reassignment Care Compare group
• Medical Associates of Englewood, PC

  • Internal Medicine Physician
  • Englewood, NJ
  • NPI 1952681918
  Medicare reassignment NPD
• New Jersey Medical and Health Associates,LLC

  dba CarePoint Health Medical Group

  • Internal Medicine Physician
  • Hoboken, NJ
  • NPI 1558673582
  Medicare reassignment NPD
• Py Medical Services of NJ LLC

  • Multi-Specialty Clinic/Center
  • Newark, NJ
  • NPI 1942912381
  Medicare reassignment NPD
• SM Trinity Primary Care LLC

  • Primary Care Nurse Practitioner
  • S Plainfield, NJ
  • NPI 1740055714
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hackensack Meridian Ambulatory Care, Inc.

  dba Hackensack Meridian JFK At Home

  • Home Health Agency
  • Iselin, NJ
  • NPI 1841943891
  Care Compare affiliation

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

{
    "created_epoch": "1622937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1902473226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 SUMMIT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073835",
            "telephone_number": "973-692-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 SUMMIT AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073835",
            "telephone_number": "973-692-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "MARIFEL",
        "middle_name": "B.",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-06",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01160200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Vialonga, MD
• Vicente Umali Pediatric Assocs LLC
• Victor Marchione, M.D.,L.L.C.
• Victoria S. Pedoeem, DDS
• Victory Steps Academy LLC
• Vijay N. Roy MD PA
• Vijayant Singh LLC
• Eisen Patrick Pueyo Villaluna, DDS
• Valentin Villaluz, CRNA
• Erick Villamar

• Nurse Practitioner in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.

Verify at the official NPI Registry.