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

Jennifer Elizabeth Vilcachagua, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1386326700

Jennifer Elizabeth Vilcachagua, PHYSICIANASSISTANT is a Physician Assistant in Bloomfield, New Jersey. Qualified in 2023, 3 years ago. Practices with St Josephs Medical Group PC, a 226-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023
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Practice location Address checks out

230 Broad St
Bloomfield, NJ 07003-7607
Phone: (201) 983-4062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 35 Ackerman Ave, Clifton, NJ 07011-1501 — (973) 928-2880

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00794200 (NJ)

Record details

NPI number1386326700
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 4, 2023
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

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 St Josephs Medical Group Pc — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Bloomfield