Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alfin G Vicencio, MD

Individual provider Pediatrics Physician · NPI 1821174772

Alfin G Vicencio, MD is a Pediatric Medicine in Hackensack, New Jersey. Graduated from University of Toledo College of Medicine in 1996, 30 years ago. Works from 2 locations. Licensed in New Jersey and New York.

Years since qualifying
30
Trained at
University of Toledo College of Medicine
Licensed in
NJ, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30 Prospect Ave Wfan 3rd Fl
Hackensack, NJ 07601-1915
Phone: (551) 996-5207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5 E 98th St, New York, NY 10029-6501 — (212) 241-7788

Specialties & licences

Pediatric Pulmonology Physician (primary) Taxonomy 2080P0214X · Licence 25MA12296500 (NJ)
Pediatrics Physician Taxonomy 208000000X · Licence 212630 (NY)
Pediatric Pulmonology Physician Taxonomy 2080P0214X · Licence 212630 (NY)

Record details

NPI number1821174772
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 31, 2006
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Not indicated

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