IndividualActive
Alfin Vicencio, MD
NPI 1821174772 · Pediatric Pulmonology Physician · Hackensack, NJ
Provider details
- NPI number
- 1821174772
- Entity type
- Individual
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 212630 (NY)
Practice location
30 Prospect Ave
Wfan 3rd Floor
Hackensack, NJ 07601-1915
Phone: (551) 996-5207
Mailing address
331 Newman Springs Rd
Red Bank, NJ 07701-5688
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2025-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.