Vladimir Jimenez Pupo, APN is a
Nurse Practitioner - Gerontology based in Manville, New Jersey. Vladimir Jimenez Pupo is licensed to practice in New Jersey (license number 26NJ15434000) and his current practice location is
1015 Saint John St, Manville, New Jersey. He can be reached at his office (for appointments etc.) via phone at
(551) 888-6780.
NPI number for Vladimir Jimenez Pupo is 1649144999 and his current mailing address is 1015 Saint John St, Manville, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649144999.
Provider's Profile
| Full Name | Vladimir Jimenez Pupo |
|---|
| Gender | Male |
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| Speciality | Nurse Practitioner - Gerontology |
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| Location | 1015 Saint John St, Manville, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649144999
- Provider Enumeration Date: 09/30/2025
- Last Update Date: 09/30/2025
Medical Identifiers
Medical identifiers for Vladimir Jimenez Pupo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649144999 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 26NJ15434000 (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. Vladimir Jimenez Pupo 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 Address | Practice Location Address |
|---|
Vladimir Jimenez Pupo, APN
1015 Saint John St,
Manville, NJ 08835-1148
Ph: () - | Vladimir Jimenez Pupo, APN
1015 Saint John St,
Manville, NJ 08835-1148
Ph: (551) 888-6780 |
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