Adrian Velasquez MD LLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

ADRIAN VELASQUEZ MD LLC

Practice address

2110 Dorchester Ave Ste 205
Seton Building
Dorchester, MA 02124

Phone

(617) 816-0169

NPI assigned

May 24, 2019

Organization subpart

No

Name

Adrian Velasquez, MD

Title

Owner

Phone

(617) 816-0169

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2020.

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1407413487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 MASSACHUSETTS AVE APT 4",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021181479",
            "telephone_number": "617-816-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 DORCHESTER AVE STE 205",
            "address_2": "SETON BUILDING",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02124",
            "telephone_number": "617-816-0169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "581 Massachusetts Ave Apt 4",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021181479",
            "country_code": "US",
            "telephone_number": "617-816-0169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADRIAN VELASQUEZ MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "VELASQUEZ",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-816-0169",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110130458A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyriah Kelsey Jazamine Adams Monroe
• Lateisha Adams
• Nasra Adan
• Samira Khalif Adan, RN
• Adm Angels Inc.
• Adult Day Health, Inc.
• Adult Day Health, Inc.
• Adult Day Health, Inc.
• Chandan Advani, DMD
• Emeka Agudile, MD

• All providers in Dorchester, MA
• Sleep Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.