Individual provider Active NPI

Marela Zoe Velez, MD

  • Infectious Disease Physician
  • Pomona, NY
National Provider Identifier
1174718522
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
289335 Issued in NY
Practice address
50 Sanatorium Rd BLDG D
Pomona, NY 10970-3555
Phone
(845) 364-2997
Fax
(845) 364-3658
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 289335 NY Primary
Infectious Disease Physician 207RI0200X ME103200 FL

Addresses

Primary practice location

50 Sanatorium Rd BLDG D
Pomona, NY 10970-3555

Mailing address

50 Sanatorium Rd BLDG D
Pomona, NY 10970-3555
Phone (845) 364-2997

Other identifiers 2

IdentifierTypeStateIssuer
04800102MedicaidNY
002121000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100708000125 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 1951432970 Reassigns benefits to 2 organizations
I20170905000215 NY Practitioner - Preventive MedicinePractitioner - Infectious Disease 1951432970 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
289335NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Rockland Current Accepting new patients
St. Joseph'S Hospital, Inc. CurrentSince Feb 9, 2013 Accepting new patients
Margarita R Cancio MD PA Infectious Disease CurrentSince Jul 1, 2010 Accepting new patients
County of Rockland CurrentSince Jun 22, 2017 Accepting new patients
St Joseph'S Hospital Inc CurrentSince Feb 9, 2013 Accepting new patients

Locations

2995 Drew St
Bldg 2ND
Clearwater, FL 33759

3050 1st Ave S
St Petersburg, FL 33712
Phone (727) 209-3500

4729 N Habana Ave
Tampa, FL 33614
Phone (813) 251-8444

Interoperability endpoints

  • Direct secure messaging: marela.velez@rck.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1174718522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SANATORIUM RD BLDG D",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703555",
            "telephone_number": "845-364-2997",
            "fax_number": "845-364-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SANATORIUM RD BLDG D",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703555",
            "telephone_number": "845-364-2997",
            "fax_number": "845-364-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "MARELA",
        "middle_name": "ZOE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "289335",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME103200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04800102",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002121000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.