Individual provider Active NPI

Franklyn Vazquez, MD

  • Surgery Physician
  • Clifton, NJ
National Provider Identifier
1699724872
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA56208 Issued in NJ
Practice address
716 Broad St
Clifton, NJ 07013-1645
Phone
(973) 777-7978
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MA56208 NJ Primary

Addresses

Primary practice location

716 Broad St
Clifton, NJ 07013-1645

Mailing address

PO Box 306
Cedar Grove, NJ 07009-0306
Phone (973) 777-7978

Other identifiers 1

IdentifierTypeStateIssuer
7091508MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041209000075 NJ Practitioner - General Surgery 4789669722 Reassigns benefits to 2 organizations
Practice locations: Clifton, NJ
I20250311000424 NY Practitioner - General Surgery 4789669722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rutgers New Jersey Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Vein Clinics of New Jersey LLC 9 clinicians

Practice addresses (Care Compare)

901 Route 73 N
Suite C
Marlton, NJ 08053-2034
Phone (862) 212-3540

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal107

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA56208NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pelham Pkwy Medical of New York LLC CurrentSince Jan 1, 2025 Accepting new patients
USA Vascular Center of New Jersey LLC CurrentSince Nov 1, 2024 Accepting new patients
Advanced Vascular Solutions, P.a. PastSince Nov 1, 2006 Accepting new patients
Bushwick Medical of New York LLC PastSince Nov 1, 2024 Accepting new patients
North Jersey Neurology Care PA Past Accepting new patients
Medical Associates of Englewood, PC Past Accepting new patients

Locations

272 Main St
#A
Orange, NJ 07050
Phone (862) 212-1084

2157 White Plains Rd
Ste B
Bronx, NY 10462

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1699724872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070090306",
            "telephone_number": "973-777-7978",
            "fax_number": "973-777-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131645",
            "telephone_number": "973-777-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "FRANKLYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA56208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7091508",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

Verify at the official NPI Registry.