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

Jennifer Lyn Vidal, DO

Individual provider Pediatrics Physician · NPI 1649565201

Jennifer Lyn Vidal, DO is a Pediatrics Physician in Harrison, New Jersey. Licensed in New Jersey. Registered with an NPI since 2011.

Licensed in
NJ
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

332 Harrison Ave
Harrison, NJ 07029-1775
Phone: (973) 484-4584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MB08925500 (NJ)

Record details

NPI number1649565201
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 12, 2011
Last updated in NPPESJune 16, 2011
Mailing address130 N 16th St, Bloomfield, NJ 07003-5828

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