Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Vasquez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669001426

Kevin Vasquez is a Family Practice in Paterson, New Jersey. Qualified in 2019, 7 years ago. Practices with Hackensack Meridian Health Medical Group - Primary Care PC, a 364-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

St Joseph's University Medical Hospital 703 Main St
Paterson, NJ 07503
Phone: (973) 754-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA11891200 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669001426
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESOctober 3, 2023
Certification dateOctober 3, 2023
Mailing address5114 Wyndhurst Dr, Plainsboro, NJ 08536-2035

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Hackensack Meridian Health Medical Group - Primary Care Pc — 364 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Paterson