Individual provider Active NPI

Jodi Velocci, PA

  • Physician Assistant
  • Valley Stream, NY
National Provider Identifier
1437189073
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003499 Issued in NY
Practice address
70 E Sunrise Hwy
5TH FL.
Valley Stream, NY 11581-1233
Phone
(516) 825-3600
Fax
(516) 823-2096
NPI assigned
Jul 3, 2006
Last updated
Jul 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003499 NY Primary

Addresses

Primary practice location

70 E Sunrise Hwy
5TH FL.
Valley Stream, NY 11581-1233

Mailing address

791N Wellwood Ave
Lindenhurst, NY 11757
Phone (631) 957-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190815000878 NY Practitioner - Physician Assistant 9032446919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prince Medicine PCGroup PAC ID 0941478978, 5 clinicians

Practice addresses (Care Compare)

80 Crossways Park Dr
Woodbury, NY 11797-2047
Phone (516) 802-5025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003499NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Urgent Medical PC PastSince Nov 18, 2025 Accepting new patients
Primary Urgent Medical PC PastSince Mar 15, 2007 Accepting new patients
Queens Long Island Medical Group, P.C. Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1437189073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791N WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "11757",
            "telephone_number": "631-957-2200",
            "fax_number": "631-957-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E SUNRISE HWY",
            "address_2": "5TH FL.",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811233",
            "telephone_number": "516-825-3600",
            "fax_number": "516-823-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELOCCI",
        "first_name": "JODI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.