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

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: November 01, 2026.

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 and maintains a secondary practice location in New York.

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
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alfin G Vicencio Md 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 Alfin Vicencio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
38 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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.

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2453
JENNIFER NORTHRIDGE M.D.
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2237
ANALYSA GALLEGOS MD
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2331
DR. PAARTH RAJ D.O.
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 996-2000
MRS. LAUREN ANNE CARUCCI NP-C
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
MS. SOMDATTA GUPTA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (973) 216-7796
ALEXANDER SHERMAN DO
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (818) 635-2802
DR. TYLER MICHAEL CHAFITZ MD, MBA
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (551) 996-2000

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 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.

Where is Alfin Vicencio located?

Alfin Vicencio practices at 30 Prospect Ave Wfan 3rd Floor, Hackensack, NJ 07601. The listed phone number is (551) 996-5207.

What is Alfin Vicencio's specialty?

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

Is Alfin Vicencio enrolled in Medicare?

Yes. Alfin Vicencio is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alfin Vicencio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alfin Vicencio reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The 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 Alfin Vicencio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alfin Vicencio accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Alfin Vicencio 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 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 17 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.