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

Nicole Reynoso-Vasquez

Individual provider Internal Medicine Physician · NPI 1548721863

Nicole Reynoso-Vasquez is an Internal Medicine in Newark, New Jersey. Qualified in 2019, 7 years ago. Practices with University Physician Associates of New Jersey Inc, a 377-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

140 Bergen St
Newark, NJ 07103-2425
Phone: (973) 972-1880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 150 Bergen St, Newark, NJ 07103-2496 — (973) 972-6056

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA11804000 (NJ)
Pediatrics Physician Taxonomy 208000000X · Licence 25MA11804000 (NJ)

Record details

NPI number1548721863
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2019
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Physician Associates Of New Jersey Inc — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Newark