Individual provider Active NPI

Deborah A Vasquez

  • Pediatrics Physician
  • Bronx, NY
National Provider Identifier
1861546756
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
234106 Issued in NY
Practice address
853 Longwood Ave
Bronx, NY 10459-4036
Phone
(718) 704-3756
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 234106 NY Primary

Addresses

Primary practice location

853 Longwood Ave
Bronx, NY 10459-4036

Mailing address

1914 Hone Ave
Bronx, NY 10461-1304

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071212000577 NY Practitioner - Pediatric MedicinePractitioner - Preventive Medicine 6406946680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Preventive Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

526 Central Ave
Apt 101
Albany, NY 12206-2360
Phone (518) 694-9005

900 Lark Dr
Albany, NY 12207-1300
Phone (518) 465-4771

920 Lark Dr
Albany, NY 12207-1300
Phone (518) 465-4771

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Whitney M. Young, Jr. Health Center, Inc. Current Accepting new patients
Whitney M. Young, Jr. Health Center, Inc. CurrentSince Aug 2, 2024 Accepting new patients
Whitney M Young Jr Health Center Inc CurrentSince Aug 2, 2024 Accepting new patients
Whitney M. Young Jr. Health Center, Inc. Past Accepting new patients

Locations

920 Lark Dr
Albany, NY 12207
Phone (518) 427-0102

Interoperability endpoints

  • Direct secure messaging: deborah.vasquez.1@22063.direct.athenahealth.com

Organizations & group practices 4

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1861546756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 HONE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 LONGWOOD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594036",
            "telephone_number": "718-704-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "234106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.