Eric E Velasquez, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1070 Issued in NH

Practice address

264 Pleasant St
Concord, NH 03301-2551

Phone

(603) 224-3368

Fax

(603) 224-7815

NPI assigned

Feb 4, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Tellica Imaging, LLC

  • Radiology Clinic/Center
  • Nashua, NH
  • NPI 1003510322
  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  NH, Physician Assistant

  Medicare reassignment NPD
• Nephealth Hudson PC

  • Urgent Care Clinic/Center
  • Hudson, NH
  • NPI 1659110245
  Medicare reassignment
• Blueprint Healthcare LLC

  • Internal Medicine Physician
  • Fitchburg, MA
  • NPI 1467927483

  NH

  Medicare reassignment
• Tellica Imaging, LLC

  • Physiological Laboratory
  • Spanish Fork, UT
  • NPI 1518727734
  NPD
• Clearchoicemd Primary Care PLLC

  • Family Medicine Physician
  • Saint Albans, VT
  • NPI 1326582529
  NPD (past)

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1679963201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012551",
            "telephone_number": "603-224-3368",
            "fax_number": "603-224-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012551",
            "telephone_number": "603-224-3368",
            "fax_number": "603-224-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "ERIC",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-04",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100415",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raven Vasquez
• Dawna Vaughan, MS, OTR/L
• Patrick Berry Vaughan, DDS
• Rachel Vaughan, LICSW
• Stephanie MW Vazzano, MS, LCMHC, ATR-BC
• Lisa Velazquez Cunningham
• Paige Velie
• Marie Vena
• Joseph G Venus, M.D.
• Craig Paul Venzke, PT, DPT

• Physician Assistant in Concord, NH
• Providers in Concord, NH by specialty
• Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.

Verify at the official NPI Registry.