Healthcare Provider Details

I. General information

NPI: 1699088161
Provider Name (Legal Business Name): VINCENT AYAKO NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2010
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 MEADOWLANDS PKWY
SECAUCUS NJ
07094-2925
US

IV. Provider business mailing address

3 UNIVERSITY PLZ STE 205
HACKENSACK NJ
07601-6208
US

V. Phone/Fax

Practice location:
  • Phone: 551-258-1975
  • Fax: 973-751-8757
Mailing address:
  • Phone: 201-833-3599
  • Fax: 201-227-6207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00298000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: