LIDIA L VIDAL FNP
NPI 1093565764
Nurse Practitioner - Family in Paterson, NJ

Q: What is Lidia Vidal's NPI number?

The NPI number for Lidia Vidal is 1093565764. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Lidia Vidal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lidia Vidal was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since March 25, 2024PECOS EnrolledAccepts Medicare Assignment

606 BROADWAY, PATERSON, NJ 07514(973) 523-1800 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lidia L Vidal Fnp NPPES

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

LIDIA L VIDAL FNP (NPI 1093565764) is an individual family provider in Paterson, New Jersey, licensed in New Jersey (F03240452) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1093565764

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLIDIA L VIDALCredential: FNP

Location Address606 BROADWAYPaterson, NJ 07514-1916

Mailing Address606 BroadwayPaterson, NJ 07514-1916 · (973) 523-1800

Phone(973) 523-1800

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 25, 2024

Last NPPES UpdateJuly 31, 2025

NPPES CertifiedJuly 31, 2025

✔ NPI 1093565764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NJ · F03240452✔ Licensed in NJ · 26NJ15067900

606 BROADWAY, Paterson, NJ 07514

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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

Lidia L Vidal Fnp 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 ID2769926708

PECOS Enrollment IDI20240701002508

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

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