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

Christine Vivolo, PA

Individual provider Surgical Physician Assistant · NPI 1043089576

Christine Vivolo, PA is a Physician Assistant in Paramus, New Jersey. Qualified in 2023, 3 years ago. Practices with Bergen County Improvement Authority, a 95-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone: (201) 597-4130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 25MP00818000 (NJ)

Record details

NPI number1043089576
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 26, 2023
Last updated in NPPESDecember 26, 2023
Certification dateDecember 26, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Bergen County Improvement Authority — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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