Individual provider Active NPI

Anay Vazquez, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • West New York, NJ
National Provider Identifier
1902651508
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15056800 Issued in NJ
Practice address
415 60TH St
West New York, NJ 07093-2211
Phone
(551) 697-0986
Fax
(201) 462-1222
NPI assigned
Apr 18, 2024
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15056800 NJ Primary

Addresses

Primary practice location

415 60TH St
West New York, NJ 07093-2211

Mailing address

415 60TH St
West New York, NJ 07093-2211
Phone (551) 697-0986

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
I20240731003129 NJ Practitioner - Nurse Practitioner 8820535404 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Garden State Healthcare Associates LLCGroup PAC ID 8426190687, 171 clinicians
Serv Centers of New Jersey, IncGroup PAC ID 8820983117, 10 clinicians

Practice addresses (Care Compare)

208 Denver Rd
Paramus, NJ 07652-3207
Phone (201) 908-7700

308 Willow Ave
Hoboken, NJ 07030-3808

777 Bloomfield Ave
Clifton, NJ 07012-1242
Phone (973) 594-0125

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15056800NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Familia Community Supports Services LLC CurrentSince Aug 25, 2025 Accepting new patients
Damor Mental Health Center LLC Psychiatric/Mental Health CurrentSince Feb 11, 2025 Accepting new patients
Serv Centers of New Jersey, Inc CurrentSince Sep 16, 2024 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Aug 1, 2024 Accepting new patients
Serv Centers of New Jersey, Inc CurrentSince Sep 16, 2024 Accepting new patients

Locations

777 Bloomfield Ave
Clifton, NJ 07012
Phone (973) 594-0125

777 Bloomfield Ave
Ste B
Clifton, NJ 07012
Phone (973) 594-0125

20 Scotch Rd
Ewing, NJ 08628
Phone (609) 403-6359

122-132 Clinton St
Hoboken, NJ 07030
Phone (201) 418-3140

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

415 60th St
West New York, NJ 07093
Phone (305) 972-0162

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1902651508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932211",
            "telephone_number": "551-697-0986",
            "fax_number": "201-462-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 60TH ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932211",
            "telephone_number": "551-697-0986",
            "fax_number": "201-462-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "ANAY",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15056800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.