Individual ProviderVincent TrinidadNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressOne Robert Wood Johnson Place, Medical Education Building -2nd Floor, New Brunswick, NJ 08901-0890(908) 685-3732(732) 313-6904PECOS EnrollmentBased on the most recent information from CMS, provider Vincent Trinidad is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1538791504Provider TypeIndividualFull NameTrinidad, VincentTitleMr.CredentialNP-CGenderMaleSole ProprietorNoEnumeration Date2/7/2020Last Updated3/5/2020Contact InformationPractice LocationPractice AddressOne Robert Wood Johnson Place, Medical Education Building -2nd Floor, New Brunswick, NJ 08901-0890Phone(908) 685-3732FaxUnlisted FaxMailing LocationMailing Address2 Marc Ct, Parlin, NJ 08859-3100Phone(732) 313-6904FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense26NJ01000900New Jersey