Individual provider Active NPI

Maria Velazquez-Connor, MD

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1619530433
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
334161 Issued in NY
Practice address
1317 Castle Hill Ave
Bronx, NY 10462-4806
Phone
(718) 765-6343
Fax
(347) 736-0203
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A183593 CA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 334161 NY Primary

Addresses

Primary practice location

1317 Castle Hill Ave
Bronx, NY 10462-4806

Mailing address

PO Box 746087
Atlanta, GA 30374-6087
Phone (312) 773-9730

Other practice location 1

3883 Airway Dr
Santa Rosa, CA 95403-1670
Phone (707) 521-7777

Other practice location 2

2721 Bronxwood Ave
Bronx, NY 10469-3642
Phone (718) 765-6350

Other practice location 3

1953 University Ave
Bronx, NY 10453-4404
Phone (718) 765-6054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, 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
I20230316000621 PA Practitioner - Family Practice 3173858917 Reassigns benefits to 1 organization
I20250103002397 NY Practitioner - Family Practice 3173858917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Griffin Myers Medical PCGroup PAC ID 5294145017, 78 clinicians

Practice addresses (Care Compare)

11515 Sutphin Blvd
Jamaica, NY 11434-1020
Phone (718) 765-6009

1317 Castle Hill Ave
Bronx, NY 10462-4806
Phone (718) 765-6343

455 Sutter Ave
Brooklyn, NY 11212-8111
Phone (718) 765-6550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
334161NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Myers Medical, P.C. Family Medicine CurrentSince Oct 24, 2024 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Milton S Hershey Medical Center Physicians Group Family Medicine CurrentSince Dec 11, 2022 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Dec 11, 2022 Accepting new patients
Upmc Community Medicine Inc Family Medicine Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1317 Castle Hill Ave
Bronx, NY 10462
Phone (718) 765-6343

2721 Bronxwood Ave
Bronx, NY 10469
Phone (347) 736-0207

455 Sutter Ave
Brooklyn, NY 11212
Phone (718) 765-6550

11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000

1 Continental Dr
Elizabethtown, PA 17022
Phone (717) 361-0666

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1619530433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746087",
            "telephone_number": "312-773-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 CASTLE HILL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624806",
            "telephone_number": "718-765-6343",
            "fax_number": "347-736-0203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3883 Airway Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031670",
            "country_code": "US",
            "telephone_number": "707-521-7777",
            "fax_number": "707-573-5426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2721 Bronxwood Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104693642",
            "country_code": "US",
            "telephone_number": "718-765-6350",
            "fax_number": "347-736-0207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1953 University Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104534404",
            "country_code": "US",
            "telephone_number": "718-765-6054",
            "fax_number": "347-706-3912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELAZQUEZ-CONNOR",
        "first_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A183593",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "334161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.