Active NPI
Josephine Velazquez, D.P.M.
- Sports Medicine Podiatrist
- Darien, CT
National Provider Identifier
1114934874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine Podiatrist
- License
- 000670
- Practice address
- 20 Old Kings Hwy S
Darien, CT 06820-4521 - Phone
- (203) 655-6299
- Fax
- (203) 656-2607
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine Podiatrist | 213ES0000X | 000670 | CT | Primary |
| Sports Medicine Podiatrist | 213ES0000X | N004823 | NY |
Addresses
Primary practice location
20 Old Kings Hwy S
Darien, CT 06820-4521
Mailing address
20 Old Kings Hwy S
Darien, CT 06820-4521
Phone (203) 655-6299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RS178 | Other | CT | OXFORD INSURANCE ID # |
Other names 1
- Mrs. Josephine V. Rucquoi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050111000840 | CT | Practitioner - Podiatry | 4486602968 | Practice locations: Darien, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20 Old Kings Hwy S
Darien, CT 06820-4539
Phone (203) 655-6299
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 92 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004823 | NY | MD | Mental Health Counselor |
| N004823 | NY | MD | Sports Medicine Podiatrist |
| 000670 | CT | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114934874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 OLD KINGS HWY S",
"city": "DARIEN",
"state": "CT",
"postal_code": "068204521",
"telephone_number": "203-655-6299",
"fax_number": "203-656-2607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 OLD KINGS HWY S",
"city": "DARIEN",
"state": "CT",
"postal_code": "068204521",
"telephone_number": "203-655-6299",
"fax_number": "203-656-2607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "JOSEPHINE",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "CT",
"license": "000670",
"primary": true
},
{
"code": "213ES0000X",
"taxonomy_group": "",
"desc": "Podiatrist, Sports Medicine",
"state": "NY",
"license": "N004823",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD INSURANCE ID #",
"identifier": "RS178",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOSEPHINE",
"last_name": "RUCQUOI",
"middle_name": "V.",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Darien, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.