Active NPI
Yudil Holanda Velez, M.D.
- Pediatrics Physician
- Norwalk, CT
National Provider Identifier
1407218753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 69047
- Practice address
- 120 Connecticut Ave
Norwalk, CT 06854-1525 - Phone
- (203) 899-1770
- NPI assigned
- Mar 25, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 69047 | CT | Primary |
Addresses
Primary practice location
120 Connecticut Ave
Norwalk, CT 06854-1525
Mailing address
120 Connecticut Ave
Norwalk, CT 06854-1525
Phone (203) 899-1770
Other practice location 1
743 E 181st St Fl 1
Bronx, NY 10457-2749
Phone (917) 635-5608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300397 | NY | MD | Licensed Practical Nurse |
| 69047 | CT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwalk Community Health Center Inc | Current | Accepting new patients | |
| Via Care Community Health Center | Current | Accepting new patients | |
| Via Care Community Health Center | Current | Accepting new patients |
Locations
501 S Atlantic Blvd
Los Angeles, CA 90022
Phone (323) 268-5442
507 S Atlantic Blvd
Los Angeles, CA 90022
Phone 32326891911067
120 Connecticut Ave
Norwalk, CT 06854
Phone (203) 851-1000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCDGCD
Organizations & group practices 3
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.
-
- Health Service Clinic/Center
- Norwalk, CT
- NPI 1841226347
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1497001226
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1235577529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1407218753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 CONNECTICUT AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068541525",
"telephone_number": "203-899-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 CONNECTICUT AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068541525",
"telephone_number": "203-899-1770"
}
],
"practiceLocations": [
{
"address_1": "743 E 181st St Fl 1",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104572749",
"country_code": "US",
"telephone_number": "917-635-5608",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELEZ",
"first_name": "YUDIL",
"middle_name": "HOLANDA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-25",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "69047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.