NPIMap

Individual provider Active NPI

Oscar Vazquez, M.D.

  • Orthopaedic Surgery Physician
  • Hackensack, NJ
National Provider Identifier
1063608875
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
239538 Issued in NY
Practice address
25 Prospect Ave
Hackensack, NJ 07601-1960
Phone
(201) 343-2277
Fax
(201) 343-7410
NPI assigned
Sep 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 239538 NY Primary

Addresses

Primary practice location

25 Prospect Ave
Hackensack, NJ 07601-1960

Mailing address

25 Prospect Ave
Hackensack, NJ 07601-1960
Phone (201) 343-2277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090924000519 NJ Practitioner - Orthopedic Surgery 4688720154 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Johns Hopkins University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)22
Upper limb (arm) arthroscopy (minimally invasive joint repair)60

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
239538NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Active Orthopedics and Sports Medicine, LLC CurrentSince Dec 10, 2011 Accepting new patients
Bergen County Improvement Authority CurrentSince Dec 10, 2019 Accepting new patients
Summit Medical Group PA Orthopaedic Surgery CurrentSince Apr 12, 2021 Accepting new patients
Active Orthopedics & Sports Medicine LLC Orthopaedic Surgery CurrentSince Dec 10, 2011 Accepting new patients
Bergen County Improvement Authority CurrentSince Dec 10, 2019 Accepting new patients
Summit Medical Group PA CurrentSince Apr 12, 2021 Accepting new patients
Summit Medical Group, Inc Past Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

440 Old Hook Rd
Emerson, NJ 07630
Phone (201) 265-4400

25 Prospect Ave
Hackensack, NJ 07601
Phone (201) 343-2277

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

390 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-0707

Interoperability endpoints

  • Direct secure messaging: oscar.vazquez.1@2983.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1063608875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011960",
            "telephone_number": "201-343-2277",
            "fax_number": "201-343-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011960",
            "telephone_number": "201-343-2277",
            "fax_number": "201-343-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-15",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "239538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.