Erich Laserna Vidal, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00080600 Issued in NJ

Practice address

24 Abeel St
New Brunswick, NJ 08901-1303

Phone

(732) 745-9800

NPI assigned

Sep 20, 2011

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: erich.vidal.1@31891.direct.athenahealth.com

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.

• Catholic Charities Diocese of Metuchen

  • Community Health Clinic/Center
  • New Brunswick, NJ
  • NPI 1871782334
  NPD (past)

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1912280686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 JADE LN",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088657326",
            "telephone_number": "908-387-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ABEEL ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011303",
            "telephone_number": "732-745-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "ERICH",
        "middle_name": "LASERNA",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00080600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul J Venus
• Ricardo E Verdiner, MD
• Jyoti Verma, MD
• Laura Vetter, R.D.
• Gilbert B Vicencio, MSN, FNP-BC
• Rebecca Alexandrea Vidal, RDN
• Hetal Vig, MS, CGC
• Christa Joy Montero Villaluna, DNP, CRNA/APN
• Allan Villapaz, RNFA
• Krystina Vinpa, LCSW, LCADC

• Physician Assistant in New Brunswick, NJ
• Providers in New Brunswick, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.