1. Home
  2. Directory
  3. New York
  4. Jamaica
  5. Nurse Practitioner
  6. NPI Profile

TEOFILO ISAUL VASQUEZ
NPI 1619836640
Nurse Practitioner - Adult Health in Jamaica, NY

Active since January 16, 2026PECOS EnrolledAccepts Medicare Assignment
11515 SUTPHIN BLVD, JAMAICA, NY 11434(718) 765-6009(347) 682-4302 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Teofilo Isaul Vasquez NPPES

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

TEOFILO ISAUL VASQUEZ (NPI 1619836640) is an individual adult health provider in Jamaica, New York, licensed in New York (312501) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1619836640
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameTEOFILO ISAUL VASQUEZ
Location Address11515 SUTPHIN BLVDJamaica, NY 11434-1020
Mailing AddressPo Box 746087Atlanta, GA 30374-6087 · (312) 733-9730
Phone(718) 765-6009
Fax(347) 682-4302
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 16, 2026
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1619836640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 312501
11515 SUTPHIN BLVD, Jamaica, NY 11434
Open in Google Maps ↗

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

Teofilo Isaul 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 ID547741183
PECOS Enrollment IDI20260223001169
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11434 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

MR. OSWALDO M. JIMENEZ
Social Worker
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 659-4000
KELLIE RENE RIVERA LMSW
Social Worker
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 765-6009
CHILD CENTER OF NEW YORK
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 659-4000
JENNIFER COSTELLO-SIRI
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (187) 656-0097
FARAH JEAN PHILIPPE LCSW
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 659-4000
MS. MARILYN R SEGEL LCSW
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 659-4000
MRS. KAMILAH ELLIE MATTHEW LCSW
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (718) 659-4000
MR. DEEPMALYA GHOSH LCSW
Social Worker (Clinical)
11515 SUTPHIN BLVD
JAMAICA, NY 11434
Queens County (347) 510-4892

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 Teofilo Vasquez's NPI number?

The NPI number for Teofilo Vasquez is 1619836640. It was assigned to this individual provider in the NPPES registry on January 16, 2026.

Where is Teofilo Vasquez located?

Teofilo Vasquez practices at 11515 Sutphin Blvd, Jamaica, NY 11434. The listed phone number is (718) 765-6009.

What is Teofilo Vasquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Teofilo Vasquez enrolled in Medicare?

Yes. Teofilo 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.

When was this NPI record last updated?

The NPPES record for Teofilo Vasquez was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.