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DR. STEPHEN LEE VIVIANO M.D. NPI 1356760664


NPI Information

NPI: 1356760664
Provider Name: DR. STEPHEN LEE VIVIANO, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
200 S ORANGE AVE STE 295
LIVINGSTON, NJ
ZIP 07039
Phone: (201) 449-1000
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DR. Stephen Lee Viviano, M.D. is a plastic and reconstructive surgery surgery in Livingston, NJ with 10 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Stephen Lee Viviano, M.D. NPI is 1356760664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year:2014

The provider's business location address is:

200 S ORANGE AVE STE 295
LIVINGSTON, NJ
ZIP 07039-817
Phone: (201) 449-1000
Fax: (201) 399-2433

The NPI 1356760664 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/15/2014 and was last updated on 4/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive Surgery25MA10630300NEW JERSEYNo
22086S0122XSurgeryPlastic and Reconstructive SurgeryMD61015353WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11356760664MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.