Luis Antonio Vasquez, PAC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

009723-1 Issued in NY

Practice address

66 Fort Washington Ave
Fort Washington Medicall Office
New York, NY 10032-4711

Phone

(212) 927-0013

Fax

(212) 927-0014

NPI assigned

Jul 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Caritas Emergency Medical Services, PC

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Jamaica, NY
  • NPI 1225134851
  NPD (past)
• Caritas Emergency Medical Services, PC

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Elmhurst, NY
  • NPI 1518063155
  NPD (past)
• CMC Radiological Services PC

  • Diagnostic Radiology Physician
  • Jamaica, NY
  • NPI 1285780502
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1760407084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 FORT WASHINGTON AVE",
            "address_2": "FORT WASHINGTON MEDICALL OFFICE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324711",
            "telephone_number": "212-927-0013",
            "fax_number": "212-927-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 FORT WASHINGTON AVE",
            "address_2": "FORT WASHINGTON MEDICALL OFFICE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324711",
            "telephone_number": "212-927-0013",
            "fax_number": "212-927-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "009723-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason R Vasquez, LMSW
• Jennifer Vasquez
• John Scott Vasquez, PA-C
• Jonathan Vasquez
• Jose A Vasquez, SOCIAL WORKER
• Luisa Vasquez, AGNP-C
• Madeline Vasquez, LMSW
• Massiel Vasquez
• Michelle Vasquez
• Migdalia Vasquez, LMSW

• Legal Medicine in New York, NY
• Providers in New York, NY by specialty
• Legal Medicine in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.