Individual provider Active NPI

Victoria Rose Acilio, PA

  • Physician Assistant
  • Medford, NJ
National Provider Identifier
1972058840
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
103 Old Marlton Pike Ste 201
Medford, NJ 08055-8772
Phone
(609) 714-0202
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

103 Old Marlton Pike Ste 201
Medford, NJ 08055-8772

Mailing address

103 Old Marlton Pike
Medford, NJ 08055-8772
Phone (609) 714-0202

Other practice location 1

201 Haddon Ave
Haddon Township, NJ 08108
Phone (856) 854-0300

Other practice location 2

201 Haddon Ave
Haddon Township, NJ 08108
Phone (856) 854-0300

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
I20170306001215 NJ Practitioner - Physician Assistant 8123302411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr.Andrea S.Buck PCGroup PAC ID 7416980099, 4 clinicians

Practice addresses (Care Compare)

103 Old Marlton Pike
Medford, NJ 08055-8772
Phone (609) 714-0202

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

Merit-based Incentive Payment System (MIPS)

Final score
96.33 of 100Reported as group
Quality
93.33
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: vacilio1@bcderm.emadirect.md

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 2

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1972058840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 OLD MARLTON PIKE",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558772",
            "telephone_number": "609-714-0202",
            "fax_number": "856-854-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 OLD MARLTON PIKE STE 201",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558772",
            "telephone_number": "609-714-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Haddon Ave",
            "address_purpose": "LOCATION",
            "city": "Haddon Township",
            "state": "NJ",
            "postal_code": "08108",
            "country_code": "US",
            "telephone_number": "856-854-0300",
            "fax_number": "856-854-4107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Haddon Ave",
            "address_purpose": "LOCATION",
            "city": "Haddon Township",
            "state": "NJ",
            "postal_code": "08108",
            "country_code": "US",
            "telephone_number": "856-854-0300",
            "fax_number": "856-854-4107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACILIO",
        "first_name": "VICTORIA",
        "middle_name": "ROSE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.