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KEVIN VASQUEZ
NPI 1669001426
Family Medicine in Paterson, NJ

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
ST. JOSEPH'S UNIVERSITY MEDICAL HOSPITAL 703 MAIN ST, PATERSON, NJ 07503(973) 754-2000 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2023, Apr 3, 2020 (2 updates tracked since 2020).

About Kevin Vasquez NPPES

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

KEVIN VASQUEZ (NPI 1669001426) is an individual family medicine provider in Paterson, New Jersey, licensed in New Jersey (25MA11891200) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1669001426
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEVIN VASQUEZ
Location AddressST. JOSEPH'S UNIVERSITY MEDICAL HOSPITAL 703 MAIN STPaterson, NJ 07503
Mailing Address5114 Wyndhurst DrPlainsboro, NJ 08536-2035 · (609) 815-1172
Phone(973) 754-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 3, 2020
Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1669001426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA11891200
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
ST. JOSEPH'S UNIVERSITY MEDICAL HOSPITAL 703 MAIN ST, Paterson, NJ 07503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin 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 ID547616880
PECOS Enrollment IDI20231024000520
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.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Vasquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Primary Care PC
40 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
67 services44 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.
44 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07503 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

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 Kevin Vasquez's NPI number?

The NPI number for Kevin Vasquez is 1669001426. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Kevin Vasquez located?

Kevin Vasquez practices at St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503. The listed phone number is (973) 754-2000.

What is Kevin Vasquez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Vasquez enrolled in Medicare?

Yes. Kevin 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.

Which organization bills Medicare for Kevin Vasquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Vasquez reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Vasquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Vasquez accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kevin Vasquez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kevin Vasquez affiliated with any hospitals?

According to CMS data, Kevin Vasquez is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Vasquez was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.