Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jorge Luis Vivar-Aguirre, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003249319

Jorge Luis Vivar-Aguirre, MD is an Internal Medicine in Englewood, New Jersey. Qualified in 2007, 19 years ago. Practices with Tidalhealth Specialty Care LLC, a 366-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
19
Licensed in
MD
In the registry since
2013
Specialties on file
2
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

350 Engle St Englewood Hospital-Departament Of Medicine
Englewood, NJ 07631-1808
Phone: (201) 984-3664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D80895 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003249319
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2013
Last updated in NPPESSeptember 7, 2016

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Tidalhealth Specialty Care Llc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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