DIMA VICITAL
NPI 1083218168
Counselor - Professional in Secaucus, NJ

Active since November 30, 2020PECOS Enrolled
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094(551) 277-4441 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 25, 2024, Dec 9, 2020, Nov 30, 2020 (3 updates tracked since 2020).

About Dima Vicital NPPES

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

DIMA VICITAL (NPI 1083218168) is an individual professional provider in Secaucus, New Jersey and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1083218168
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDIMA VICITAL
Location Address55 MEADOWLANDS PKWYSecaucus, NJ 07094-2977
Mailing Address95 Chapel Hill RdLincoln Park, NJ 07035-1921
Sole ProprietorYes
Enumeration DateNovember 30, 2020
Last NPPES UpdateJuly 25, 20243 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1083218168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
55 MEADOWLANDS PKWY, Secaucus, NJ 07094

Secondary Practice Locations 4

Location 12 2nd St Ph 4102Jersey City, NJ 07302-7028 · Phone (551) 277-4441
Location 2545 Channelside Dr Unit 2508Tampa, FL 33602-5496 · Phone (551) 277-4441
Location 3211 Essex St Ste 104Hackensack, NJ 07601-3244 · Phone (551) 277-4441
Location 44700 N Habana Ave Ste 505Tampa, FL 33614-7120 · Phone (551) 277-4441

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dima Vicital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dima Vicital reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Medicine & Rehabilitation
27750 MIDDLEBELT RD
Farmington Hills, MI 48334
  • Reassigned Medicare billing, Michigan enrollment
  • 16 clinicians in this Medicare group
Neurology
2454 N MCMULLEN BOOTH RD STE 606
Clearwater, FL 33759
  • Reassigned Medicare billing, New Jersey enrollment
  • 20 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Pharmacist
55 MEADOWLANDS PKWY
SECAUCUS, NJ 07094
Clinic/Center (Radiology, Mobile)
55 MEADOWLANDS PKWY, AT MEADOWLANDS HOSPITAL MEDICAL CENTER
SECAUCUS, NJ 07094
Student in an Organized Health Care Education/Training Program
55 MEADOWLANDS PKWY
SECAUCUS, NJ 07094
Nutritionist (Nutrition, Education)
55 MEADOWLANDS PKWY
SECAUCUS, NJ 07094
Orthopaedic Surgery
55 MEADOWLANDS PKWY
SECAUCUS, NJ 07094
General Acute Care Hospital
55 MEADOWLANDS PKWY
SECAUCUS, NJ 07094
Dietitian, Registered
55 MEADOWLANDS PKWY
SECAUCUS, NJ 07094
Emergency Medicine
55 MEADOWLANDS PKWY, MEADOWLANDS HOSPITAL (EMERGENCY DEPARTMENT)
SECAUCUS, NJ 07094

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 Dima Vicital's NPI number?

The NPI number for Dima Vicital is 1083218168. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Dima Vicital located?

Dima Vicital practices at 55 Meadowlands Pkwy, Secaucus, NJ 07094. The listed phone number is (551) 277-4441.

What is Dima Vicital's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Dima Vicital enrolled in Medicare?

Yes. Dima Vicital is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dima Vicital's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dima Vicital reassigns Medicare benefits to 2 organizations: M & l Quality Of Life Plc (Farmington Hills, MI) and Daniel Korya MD LLC (Clearwater, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dima Vicital's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dima Vicital accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and UnitedHealthcare list Dima Vicital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dima Vicital was last updated on July 25, 2024. 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.