Individual provider Active NPI

Victoria Caulcrick, DNP/ APN

  • Adult Health Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1982053740
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00645600 Issued in NJ
Practice address
110 William St
Newark, NJ 07102-1304
Phone
(973) 877-6122
NPI assigned
Jun 12, 2016
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00645600 NJ
Adult Health Nurse Practitioner 363LA2200X 26NJ00645600 NJ Primary

Addresses

Primary practice location

110 William St
Newark, NJ 07102-1304

Mailing address

23 Hazel Ave
West Orange, NJ 07052-5113
Phone (973) 666-2040

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
I20170111002620 NJ Practitioner - Nurse Practitioner 1557642204 Reassigns benefits to 2 organizations

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
City of NewarkGroup PAC ID 8123169182, 11 clinicians

Practice addresses (Care Compare)

394 University Ave
Newark, NJ 07102-1221
Phone (973) 424-4271

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pranay Bhatt MD LLC CurrentSince Sep 28, 2022 Accepting new patients
City of Newark CurrentSince Jul 1, 2020 Accepting new patients
City of Newark CurrentSince Jul 1, 2020 Accepting new patients
City of Newark Past Accepting new patients
City of Newark Past Accepting new patients
Pradip S. Shah, M.D. PastSince May 14, 2023 Accepting new patients
Metropolitan Medical Group LLC PastSince Jan 1, 2017 Accepting new patients
National Health Rehabilitation LLC Past Accepting new patients

Locations

350 Bloomfield Ave
#4
Bloomfield, NJ 07003
Phone (973) 748-9330

110 William St
Newark, NJ 07102
Phone (973) 424-4271

394 University Ave
Newark, NJ 07102
Phone (800) 734-7083

Interoperability endpoints

  • Direct secure messaging: victoria.howell.p1@direct.memhc.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1465689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1982053740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HAZEL AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525113",
            "telephone_number": "973-666-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WILLIAM ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021304",
            "telephone_number": "973-877-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAULCRICK",
        "first_name": "VICTORIA",
        "credential": "DNP/ APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-12",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00645600",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00645600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.