Active NPI
Pablo Vazquez, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- North Bergen, NJ
National Provider Identifier
1811280175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 25MA09932500
- Practice address
- 8901 Kennedy Blvd
North Bergen, NJ 07047-5344 - Phone
- (201) 430-2022
- NPI assigned
- May 19, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 25MA09932500 | NJ | Primary |
Addresses
Primary practice location
8901 Kennedy Blvd
North Bergen, NJ 07047-5344
Mailing address
1450 Washington St Apt 1206
Hoboken, NJ 07030-9403
Phone (973) 615-5036
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09932500 | NJ | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiatrists of New Jersey | Current | Accepting new patients | |
| Synergy Orthopedics & Spine | Current | Accepting new patients | |
| Quick Med Medical LLC | Current | Accepting new patients | |
| Humc Opco LLC | Current | Accepting new patients | |
| Advanced Rehabilitation and Pain Medicine Group, Inc. | Past | Accepting new patients | |
| Advanced Rehabilitation and Pain Medicine | Past | Accepting new patients |
Locations
1040 State Route 36
Atlantic Hlds, NJ 07716
Phone (732) 291-0740
66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637
300 Old Hook Rd
Westwood, NJ 07675
Phone (201) 566-2675
Interoperability endpoints
- pablo.vazquez@direct.hobokenumc.md
Organizations & group practices 6
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.
-
- Physical Medicine & Rehabilitation Physician
- Teaneck, NJ
- NPI 1740723428
-
- Orthopaedic Surgery Physician
- Lyndhurst, NJ
- NPI 1114749645
-
- Orthopaedic Surgery Physician
- Paterson, NJ
- NPI 1902608649
-
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- Pain Clinic/Center
- North Bergen, NJ
- NPI 1447553037
-
- Interventional Pain Medicine Physician
- North Bergen, NJ
- NPI 1932469285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1811280175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 WASHINGTON ST APT 1206",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070309403",
"telephone_number": "973-615-5036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 KENNEDY BLVD",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070475344",
"telephone_number": "201-430-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZQUEZ",
"first_name": "PABLO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-19",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NJ",
"license": "25MA09932500",
"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 Aug 11, 2022; 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.