Individual provider Active NPI

Jasmine Velez

  • Social Worker
  • Staten Island, NY
National Provider Identifier
1760895932
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
100457 Issued in NY
Practice address
444 Saint Marks PL
Staten Island, NY 10301-2434
Phone
(718) 720-6727
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 100457 NY Primary

Addresses

Primary practice location

444 Saint Marks PL
Staten Island, NY 10301-2434

Mailing address

444 Saint Marks PL
Staten Island, NY 10301-2434
Phone (718) 720-6727

Other practice location 1

1765 South Ave
Staten Island, NY 10314-3604
Phone (718) 761-9800 ext. 50122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100457NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1760895932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 SAINT MARKS PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012434",
            "telephone_number": "718-720-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 SAINT MARKS PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012434",
            "telephone_number": "718-720-6727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1765 South Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103143604",
            "country_code": "US",
            "telephone_number": "718-761-9800 x50122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "100457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.