Healthcare Provider Details

I. General information

NPI: 1437071172
Provider Name (Legal Business Name): VINCULO HEALTH MANAGEMENT NJ CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 BROADWAY
PATERSON NJ
07514-1444
US

IV. Provider business mailing address

675 BROADWAY
PATERSON NJ
07514-1444
US

V. Phone/Fax

Practice location:
  • Phone: 201-277-9951
  • Fax: 201-277-9952
Mailing address:
  • Phone: 201-277-9951
  • Fax: 201-277-9952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JHONSUA JIMENEZ ARIAS
Title or Position: PHYSICIAN
Credential: MD
Phone: 862-600-1656