Individual provider Active NPI

Claudio M Vazquez, MD

  • Child & Adolescent Psychiatry Physician
  • New York, NY
National Provider Identifier
1083762587
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
193871 Issued in NY
Practice address
80 East 11 St Suite 643
New York, NY 10003
Phone
(212) 807-1954
Fax
(212) 807-1954
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 193871 NY Primary

Addresses

Primary practice location

80 East 11 St Suite 643
New York, NY 10003

Mailing address

230B 7TH St Apt C
Brooklyn, NY 11215-7107
Phone (347) 244-7001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081120000111 NY Practitioner - Psychiatry 9931269974 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentinel Services Group IncGroup PAC ID 6901290717, 10 clinicians

Practice addresses (Care Compare)

232 N Main St
Spring Valley, NY 10977-4020
Phone (845) 286-2211

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Brookdale Hospital Medical Center CurrentSince Jan 6, 2018 Accepting new patients
Puerto Rican Family Institute, Inc. CurrentSince Jan 30, 2016 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jan 6, 2018 Accepting new patients
Sentinel Services Group Inc CurrentSince Jun 10, 2023 Accepting new patients
Catholic Guardian Services CurrentSince Oct 4, 2022 Accepting new patients
The Institute for Family Health PastSince Oct 4, 2022 Accepting new patients
Hudson Guild PastSince Feb 1, 2010 Accepting new patients
Beth Israel Medical Center Past Accepting new patients
Beth Israel Medical Center Psychiatry & Behavioral Science Past Accepting new patients

Locations

1990 Westchester Ave
Bronx, NY 10462
Phone (718) 239-1610

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

12 Park St
Lowr
Brooklyn, NY 11206

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1011 1st Ave
Fl 10
New York, NY 10022
Phone (212) 371-1000

145 W 15th St
#2
New York, NY 10011
Phone (212) 924-6320

232 N Main St
Spring Valley, NY 10977
Phone (845) 286-2210

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1083762587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230B 7TH ST APT C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157107",
            "telephone_number": "347-244-7001",
            "fax_number": "347-558-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EAST 11 ST SUITE 643",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-807-1954",
            "fax_number": "212-807-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "CLAUDIO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "193871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.