NPI 1386326700

Jennifer Elizabeth Vilcachagua, PHYSICIANASSISTANT

Practitioner Physician Assistant Bloomfield, NJ

Practice location

Address: 230 Broad St, Bloomfield, NJ 07003-7607
Phone: (201) 983-4062

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 25MP00794200 (NJ)

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Registry record

NPI: 1386326700
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Aug 2023
Record last updated: 16 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.