Virgilio Coronado Vicente, MD - Pediatrics in Newark, NJ

Virgilio Coronado Vicente, MD is a Pediatrics physician based in Newark, New Jersey. Virgilio Coronado Vicente is licensed to practice in New Jersey (license number 25MA06381500) and his current practice location is 155 Jefferson St, Suite # 3, Newark, New Jersey. He can be reached at his office (for appointments etc.) via phone at (973) 466-0300.

NPI number for Virgilio Coronado Vicente is 1780790998 and his current mailing address is Po Box 254, West Orange, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780790998.

Contact Information

Virgilio Coronado Vicente, MD
155 Jefferson St, Suite # 3,
Newark, NJ 07105-1706
(973) 466-0300
(973) 466-1117

Map and Direction




Physician's Profile

Full NameVirgilio Coronado Vicente
GenderMale
SpecialityPediatrics
Location155 Jefferson St, Newark, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780790998
  • Provider Enumeration Date: 08/21/2006
  • Last Update Date: 08/25/2016

Medical Identifiers

Medical identifiers for Virgilio Coronado Vicente such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780790998NPI-NPPES
607241OtherEMPIRE
7949804OtherUNISYS MEDICAID
8763000002OtherCIGNA
K0845OtherHORIZON BCBS
01000200803OtherAMERICHOICE
01000200800OtherAMERICHOICE
8763000OtherCIGNA
2072459000OtherAMERIHEALTH PPO HMO
2017754OtherUNITED HEALTH CARE
7949804MedicaidNJ
2327481OtherAETNA
25087OtherUNIVERSITY HEALTH PLANS
2695833OtherGHI
P3512598OtherOXFORD
607241OtherWELLCHOICE
91899OtherAMERICAID
1135312OtherHORIZON NJ HEALTH
2366072OtherAETNA
2K5847OtherACS HEALTHNET
91899OtherAMERIGROUP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 25MA06381500 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Virgilio Coronado Vicente is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Virgilio Coronado Vicente, MD
Po Box 254,
West Orange, NJ 07052-0254

Ph: (973) 466-0300
Virgilio Coronado Vicente, MD
155 Jefferson St, Suite # 3,
Newark, NJ 07105-1706

Ph: (973) 466-0300

Reviews and Comments


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