Individual provider Active NPI

Yisel Vasquez, FNP

  • Family Nurse Practitioner
  • Mahwah, NJ
National Provider Identifier
1558914044
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00961600 Issued in NJ
Practice address
505 Ramapo Valley Rd
Mahwah, NJ 07430-1623
Phone
(201) 684-7536
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00961600 NJ Primary

Addresses

Primary practice location

505 Ramapo Valley Rd
Mahwah, NJ 07430-1623

Mailing address

100 State St Apt 408
Hackensack, NJ 07601-5495
Phone (201) 329-3096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191115000013 NJ Practitioner - Nurse Practitioner 6002248937 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00961600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Physician Services PC CurrentSince Oct 7, 2019 Accepting new patients
Personal NP Services, LLC Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Dispatch Health Medical PC CurrentSince Apr 21, 2020 Accepting new patients
Doctors Office of New Jersey, LLC CurrentSince Jan 27, 2025 Accepting new patients
Lakewood Resource and Referral Center Inc Past Accepting new patients
Am PM Primary Care Past Accepting new patients

Locations

685 River Ave
Unit 3
Lakewood, NJ 08701
Phone (732) 987-3855

456 Chestnut St
Ste 102
Lakewood, NJ 08701
Phone (732) 282-7200

85 Godwin Ave
Midland Park, NJ 07432
Phone (201) 639-8870

14 Post Rd
Oakland, NJ 07436
Phone (201) 405-0707

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

50 Tice Blvd
Ste A35
Woodcliff Lk, NJ 07677
Phone (201) 882-7526

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1558914044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STATE ST APT 408",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015495",
            "telephone_number": "201-329-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 RAMAPO VALLEY RD",
            "city": "MAHWAH",
            "state": "NJ",
            "postal_code": "074301623",
            "telephone_number": "201-684-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "YISEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00961600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahwah, NJ

Sources for this page

Verify at the official NPI Registry.