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DR. VIVIANA PORTILLO DMD
NPI 1164152591
Dentist in Englewood, NJ

Active since June 17, 2022PECOS Enrolled
370 GRAND AVE STE 200, ENGLEWOOD, NJ 07631(201) 871-3555 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Viviana Portillo Dmd NPPES

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

DR. VIVIANA PORTILLO DMD (NPI 1164152591) is an individual dentist in Englewood, New Jersey, licensed in Florida (DN27232) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164152591
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. VIVIANA PORTILLOCredential: DMD
Location Address370 GRAND AVE STE 200Englewood, NJ 07631-4109
Mailing Address5807 Maspeth Ave Fl 1Maspeth, NY 11378-2213 · (917) 650-8662
Phone(201) 871-3555
Sole ProprietorYes
Enumeration DateJune 17, 2022
Last NPPES UpdateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1164152591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN27232
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
370 GRAND AVE STE 200, Englewood, NJ 07631
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Viviana Portillo Dmd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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

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

CARA LYNN MINICHETTI D.D.S.
Dentist (General Practice)
370 GRAND AVE STE 200
ENGLEWOOD, NJ 07631
Bergen County (201) 871-3555

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 Viviana Portillo's NPI number?

The NPI number for Viviana Portillo is 1164152591. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Viviana Portillo located?

Viviana Portillo practices at 370 Grand Ave Ste 200, Englewood, NJ 07631. The listed phone number is (201) 871-3555.

What is Viviana Portillo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Viviana Portillo enrolled in Medicare?

Yes. Viviana Portillo is registered in the Medicare PECOS enrollment system.

What insurance does Viviana Portillo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and BEST Life and 9 other insurers list Viviana Portillo 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 Viviana Portillo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.