JACQUELINE VIVIANO APN
NPI 1700431525
Nurse Practitioner - Primary Care in Newark, NJ

Q: What is Jacqueline Viviano's NPI number?

The NPI number for Jacqueline Viviano is 1700431525. It was assigned to this individual provider in the NPPES registry on August 8, 2019.

Q: What is Jacqueline Viviano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since August 08, 2019PECOS Enrolled

150 BERGEN ST, NEWARK, NJ 07103(973) 972-5882 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 24, 2026, Aug 8, 2019 (2 updates tracked since 2019).

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About Jacqueline Viviano Apn NPPES

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

JACQUELINE VIVIANO APN (NPI 1700431525) is an individual primary care provider in Newark, New Jersey, licensed in New Jersey (26NJ00944300) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700431525

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameJACQUELINE VIVIANOCredential: APN

Location Address150 BERGEN STNewark, NJ 07103-2496

Mailing Address54 Main TerBloomfield, NJ 07003-4012

Phone(973) 972-5882

Sole ProprietorNo

Enumeration DateAugust 8, 2019

Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1700431525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP2300X

License✔ Licensed in NJ · 26NJ00944300

150 BERGEN ST, Newark, NJ 07103

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Viviano Apn 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 Reassignment

Medicare enrollment records show Jacqueline Viviano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Hospital

Same address

Clinic/Center

140 BERGEN STREET, DEPT. ACC CLINICS, F-1776
Newark, NJ 07103

Reassigned Medicare billing, New Jersey enrollment
40 clinicians in this Medicare group

NPI 1609178276 (973) 972-3282

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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 20

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

MR. ARIEL LIPPA, LPC, LCADC, NCC.

Counselor (Professional)