Active NPI
Madeline Velez-Phillips, M.D.
- Internal Medicine Physician
- Peekskill, NY
National Provider Identifier
1174549828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 189032
- Practice address
- 1037 Main St
Hudson River Healthcare, Inc.
Peekskill, NY 10566-2913 - Phone
- (914) 734-8800
- Fax
- (914) 734-8808
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 189032 | NY | Primary |
Addresses
Primary practice location
1037 Main St
Hudson River Healthcare, Inc.
Peekskill, NY 10566-2913
Mailing address
1037 Main St
Credentialing
Peekskill, NY 10566-2913
Phone (914) 734-8858
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00473038 | Medicaid | NY | |
| 01511426 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1174549828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1037 MAIN ST",
"address_2": "CREDENTIALING",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662913",
"telephone_number": "914-734-8858",
"fax_number": "914-734-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1037 MAIN ST",
"address_2": "HUDSON RIVER HEALTHCARE, INC.",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105662913",
"telephone_number": "914-734-8800",
"fax_number": "914-734-8808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELEZ-PHILLIPS",
"first_name": "MADELINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "189032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00473038",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01511426",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peekskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.