Organization Active NPI

Luis E Vazquez MD LLC

  • Internal Medicine Physician
  • North Bergen, NJ
National Provider Identifier
1619200987
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA07945600 Issued in NJ
Legal business name
LUIS E VAZQUEZ MD LLC
Practice address
8915 Bergenwood Ave Apt 3
North Bergen, NJ 07047-5347
Phone
(201) 758-8012
Fax
(201) 758-8013
NPI assigned
Sep 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Dr. Luis E Vazquez, MD
Title
Owner
Phone
(201) 758-8012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25MA07945600 NJ Primary

Addresses

Primary practice location

8915 Bergenwood Ave Apt 3
North Bergen, NJ 07047-5347

Mailing address

8915 Bergenwood Ave Apt 3
North Bergen, NJ 07047-5347
Phone (201) 758-8012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091105000612 NJ Part B Supplier - Clinic/Group Practice 2365580644 Receives reassigned benefits from 1 practitioner
Practice locations: North Bergen, NJ

National Provider Directory

National Provider Directory

Locations

7225 Bergenline Ave
Ste 1
North Bergen, NJ 07047
Phone (201) 758-8012

7225 Bergenline Ave
North Bergen, NJ 07047
Phone (201) 758-8012

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1619200987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 BERGENWOOD AVE APT 3",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475347",
            "telephone_number": "201-758-8012",
            "fax_number": "201-758-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8915 BERGENWOOD AVE APT 3",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475347",
            "telephone_number": "201-758-8012",
            "fax_number": "201-758-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS E VAZQUEZ MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-758-8012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07945600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.