Active NPI
Betzaida Vasquez, CNIM
- Electroneurodiagnostic Specialist/Technologist
- Ridgewood, NJ
National Provider Identifier
1093970204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 1452
- Practice address
- 1200 E Ridgewood Ave
Suite 108
Ridgewood, NJ 07450-3957 - Phone
- (201) 327-8600
- Fax
- (201) 327-8225
- NPI assigned
- Jul 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| EEG Specialist/Technologist | 246ZE0500X | 1452 | NJ | |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 1452 | NJ | Primary |
Addresses
Primary practice location
1200 E Ridgewood Ave
Suite 108
Ridgewood, NJ 07450-3957
Mailing address
1200 E Ridgewood Ave
Suite 108
Ridgewood, NJ 07450-3957
Phone (201) 327-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1452 | NJ | MD | Electroneurodiagnostic Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synapse Neurosciences, LLC | Past | Accepting new patients | |
| Valley Physician Services PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- EEG Technician
- Ridgewood, NJ
- NPI 1093109084
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1467815928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1093970204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E RIDGEWOOD AVE",
"address_2": "SUITE 108",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503957",
"telephone_number": "201-327-8600",
"fax_number": "201-327-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E RIDGEWOOD AVE",
"address_2": "SUITE 108",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074503957",
"telephone_number": "201-327-8600",
"fax_number": "201-327-8225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "BETZAIDA",
"name_prefix": "Miss",
"credential": "CNIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-28",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0500X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, EEG",
"state": "NJ",
"license": "1452",
"primary": false
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "NJ",
"license": "1452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.