Juan Guillermo Vaillant
NPI 1063509651ActiveIndividual· Dermatology· Old Bridge, NJ
Dermatology in Old Bridge, New Jersey, licensed in NY, with an NPI issued in October 2006. 48 Medicare patients in 2024, $5,737 paid; nearly all of their 56 Part D prescriptions were generic (93%).
Overview
| NPI | 1063509651 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 6, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 134403 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 48 |
|---|---|
| Services billed | 120 across 7 procedure codes |
| Paid by Medicare | $5,737 |
Part D prescriptions in 2024
| Prescriptions (claims) | 56 · 71 30-day fills |
|---|---|
| Patients | 26 |
| Total drug cost | $4,323 |
| Generic share | 93% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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