Organization Active NPI

Damor Mental Health Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Paramus, NJ
National Provider Identifier
1194539023
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DAMOR MENTAL HEALTH CENTER LLC
Practice address
208 Denver Rd
Paramus, NJ 07652-3207
Phone
(201) 908-7700
Fax
(201) 462-1222
NPI assigned
Feb 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Anay VazquezNPI 1902651508
Title
Owner/Apn
Phone
(201) 908-7700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

208 Denver Rd
Paramus, NJ 07652-3207

Mailing address

415 60TH St
West New York, NJ 07093-2211
Phone (201) 908-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250220002312 NJ Part B Supplier - Clinic/Group Practice 4183144173 Receives reassigned benefits from 1 practitioner
Practice locations: Paramus, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1194539023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932211",
            "telephone_number": "201-908-7700",
            "fax_number": "201-462-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 DENVER RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523207",
            "telephone_number": "201-908-7700",
            "fax_number": "201-462-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMOR MENTAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "ANAY",
        "authorized_official_title_or_position": "OWNER/APN",
        "authorized_official_telephone_number": "201-908-7700"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.