ALFIN G VICENCIO MD
NPI 1821174772
Pediatrics - Pediatric Pulmonology in Hackensack, NJ

Q: What is Alfin Vicencio's NPI number?

The NPI number for Alfin Vicencio is 1821174772. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Q: What is Alfin Vicencio's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Q: When was this NPI record last updated?

The NPPES record for Alfin Vicencio was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 October 31, 2006PECOS Enrolled

30 PROSPECT AVE, WFAN 3RD FLOOR, HACKENSACK, NJ 07601(551) 996-5207 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alfin G Vicencio Md NPPES

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

ALFIN G VICENCIO MD (NPI 1821174772) is an individual pediatric pulmonology provider in Hackensack, New Jersey, licensed in New Jersey (25MA12296500) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of University Of Toledo College Of Medicine (1996).

NPPES Registry Identity

NPI1821174772

Entity TypeIndividualMale

Primary Taxonomy2080P0214X

Provider Legal NameALFIN G VICENCIOCredential: MD

Location Address30 PROSPECT AVE, WFAN 3RD FLOORHackensack, NJ 07601-1915

Mailing Address331 Newman Springs Rd, Bldg 2, Ste 220Red Bank, NJ 07701-5688

Phone(551) 996-5207

Sole ProprietorNo

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1996

Enumeration DateOctober 31, 2006

Last NPPES UpdateJune 4, 2025

NPPES CertifiedJune 4, 2025

✔ NPI 1821174772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0214X

Licenses✔ Licensed in NJ · 25MA12296500✔ Licensed in NY · 212630

Definition

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

Also ListedPediatricsTaxonomy 208000000X · License 212630 (NY)

30 PROSPECT AVE, Hackensack, NJ 07601

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Secondary Practice Location 1

Location 15 E 98th St, 10th floorNew York, NY 10029-6501 · Phone (212) 241-7788 · Fax (212) 876-3255

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alfin G Vicencio Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830166768

PECOS Enrollment IDI20250722002548

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.

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.

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)