Individual provider Active NPI

Amy C Vazquez, APRN

  • Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1881479939
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ14908900 Issued in NJ
Practice address
994 W Sherman Ave BLDG 2
Vineland, NJ 08360-6937
Phone
(631) 534-7246
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ14908900 NJ Primary

Addresses

Primary practice location

994 W Sherman Ave BLDG 2
Vineland, NJ 08360-6937

Mailing address

609 Quail Dr
Millville, NJ 08332-2317
Phone (856) 364-0456

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109000780 NJ Practitioner - Nurse Practitioner 5294186821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulse Vascular LLCGroup PAC ID 7618219361, 34 clinicians

Practice addresses (Care Compare)

994 W Sherman Ave
Vineland, NJ 08360-6937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulse Vascular, LLC CurrentSince Dec 9, 2023 Accepting new patients
Community Health Care, Inc. CurrentSince Dec 5, 2023 Accepting new patients
Community Health Care, Inc. CurrentSince Dec 5, 2023 Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

715 Delsea Dr N
Ste 5
Glassboro, NJ 08028

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246

785 W Sherman Ave
Vineland, NJ 08360

Interoperability endpoints

  • Direct secure messaging: amy.vazquez.p1@direct.cchn.nextgenshare.com

Organizations & group practices 3

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1881479939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 QUAIL DR",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083322317",
            "telephone_number": "856-364-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 W SHERMAN AVE BLDG 2",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606937",
            "telephone_number": "631-534-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "AMY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ14908900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.