CHRISTINE VIVOLO PA
NPI 1043089576
Physician Assistant - Surgical in Paramus, NJ

Active since December 26, 2023PECOS EnrolledAccepts Medicare Assignment
230 E RIDGEWOOD AVE, PARAMUS, NJ 07652(201) 597-4130 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christine Vivolo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINE VIVOLO PA (NPI 1043089576) is an individual surgical provider in Paramus, New Jersey, licensed in New Jersey (25MP00818000) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Bergen New Bridge Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1043089576
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCHRISTINE VIVOLOCredential: PA
Location Address230 E RIDGEWOOD AVEParamus, NJ 07652-4142
Mailing Address230 E Ridgewood AveParamus, NJ 07652-4142
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
NPI 1043089576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NJ · 25MP00818000
230 E RIDGEWOOD AVE, Paramus, NJ 07652

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Christine Vivolo Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628411949
PECOS Enrollment IDI20240202003522
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bergen New Bridge Medical Center

Acute Care Hospitals · Paramus, NJ
OwnershipVoluntary non-profit - Private
CMS Certification Number310058
Location230 East Ridgewood AveParamus, NJ 07652 · Bergen County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652
Student in an Organized Health Care Education/Training Program
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652
Skilled Nursing Facility
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652
Psychiatry & Neurology (Forensic Psychiatry)
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652
Student in an Organized Health Care Education/Training Program
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652
Social Worker (Clinical)
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652
Student in an Organized Health Care Education/Training Program
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652
Nurse Practitioner (Psychiatric/Mental Health)
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christine Vivolo's NPI number?

The NPI number for Christine Vivolo is 1043089576. It was assigned to this individual provider in the NPPES registry on December 26, 2023.

Where is Christine Vivolo located?

Christine Vivolo practices at 230 E Ridgewood Ave, Paramus, NJ 07652. The listed phone number is (201) 597-4130.

What is Christine Vivolo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Christine Vivolo enrolled in Medicare?

Yes. Christine Vivolo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Christine Vivolo affiliated with any hospitals?

According to CMS data, Christine Vivolo is affiliated with Bergen New Bridge Medical Center.

When was this NPI record last updated?

The NPPES record for Christine Vivolo was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.