Renelle Velez Pinos

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00714800 Issued in NJ

Practice address

46 Knickerbocker Rd
Demarest, NJ 07627-1919

Phone

(201) 784-9420

NPI assigned

Oct 2, 2017

Last updated

Oct 2, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Renelle Lourdes Velez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1033629357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 KNICKERBOCKER ROAD",
            "city": "DEMAREST",
            "state": "NJ",
            "postal_code": "076271919",
            "telephone_number": "201-784-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 KNICKERBOCKER RD",
            "city": "DEMAREST",
            "state": "NJ",
            "postal_code": "076271919",
            "telephone_number": "201-784-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINOS",
        "first_name": "RENELLE",
        "middle_name": "VELEZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00714800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NJ BOARD OF NURSING",
            "identifier": "26NJ00714800",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NY EDUCATION DEPT. OFFICE OF THE PROFESSIONS",
            "identifier": "476949-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENELLE",
            "last_name": "VELEZ",
            "middle_name": "LOURDES",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nurse Practitioner in Demarest, NJ
• Providers in Demarest, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.