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NICOLE REYNOSO-VASQUEZ
NPI 1548721863
Internal Medicine in Newark, NJ

Active since March 28, 2019PECOS EnrolledAccepts Medicare Assignment
140 BERGEN ST, NEWARK, NJ 07103(973) 972-1880 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Reynoso-vasquez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE REYNOSO-VASQUEZ (NPI 1548721863) is an individual internal medicine provider in Newark, New Jersey, licensed in New Jersey (25MA11804000) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with The University Hospital, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1548721863
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNICOLE REYNOSO-VASQUEZ
Location Address140 BERGEN STNewark, NJ 07103-2425
Mailing Address150 Bergen StNewark, NJ 07103-2496 · (973) 972-6056
Phone(973) 972-1880
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 28, 2019
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1548721863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA11804000
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 25MA11804000 (NJ)
140 BERGEN ST, Newark, NJ 07103
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Secondary Practice Location 1

Location 1150 Bergen StNewark, NJ 07103-2496 · Phone (973) 972-6056

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Reynoso-vasquez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092176842
PECOS Enrollment IDI20230727000000
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
51 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRIAM J IBRAHIM
Student in an Organized Health Care Education/Training Program
140 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-7200
DR. JONATHAN MAMBER CZERESNIA MD
Internal Medicine (Infectious Disease)
140 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-4071
LISA GITTENS M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
140 BERGEN ST, ACC LEVEL C
NEWARK, NJ 07103
Essex County (973) 972-2700
DR. DANIEL MICHAEL MATASSA M.D.
Internal Medicine
140 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-9000
TEREN YEDIKIAN
Student in an Organized Health Care Education/Training Program
140 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2151
MS. CORNELIA VANDERVLIET MA,CCC-A
Audiologist
140 BERGEN ST, LEVEL E ROOM 1700
NEWARK, NJ 07103
Essex County (973) 972-9500
LUKA PETROVIC M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
140 BERGEN ST
NEWARK, NJ 07103
Essex County (973) 972-2573
DR. RAQUEL REYES DNP, WHNP, CNM
Advanced Practice Midwife
140 BERGEN ST, ACC - LEVEL D- INFECTIOUS DISEASE PRACTICE
NEWARK, NJ 07103
Essex County (973) 972-7194

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Reynoso-vasquez's NPI number?

The NPI number for Nicole Reynoso-vasquez is 1548721863. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Nicole Reynoso-vasquez located?

Nicole Reynoso-vasquez practices at 140 Bergen St, Newark, NJ 07103. The listed phone number is (973) 972-1880.

What is Nicole Reynoso-vasquez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicole Reynoso-vasquez enrolled in Medicare?

Yes. Nicole Reynoso-vasquez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nicole Reynoso-vasquez affiliated with any hospitals?

According to CMS data, Nicole Reynoso-vasquez is affiliated with The University Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Reynoso-vasquez was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.