Individual provider Active NPI

Debora S Velasco, D.P.M.

  • Podiatrist
  • New York, NY
National Provider Identifier
1831110600
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N005250 Issued in NY
Practice address
279 E 3Rd St
New York, NY 10009-7813
Phone
(212) 477-8500
Fax
(212) 473-4970
NPI assigned
Jul 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N005250 NY Primary

Addresses

Primary practice location

279 E 3Rd St
New York, NY 10009-7813

Mailing address

109 Chester St
Mount Vernon, NY 10552-3203
Phone (914) 263-4226

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000324 NY Practitioner - Podiatry 5496722027 Reassigns benefits to 2 organizations
Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

279 E 3Rd St
New York, NY 10009-7813
Phone (212) 531-7533

545 E 142ND St
Bronx, NY 10454-2110
Phone (718) 960-2781

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions40
Removal of nail tissue14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005250NYMDAcupuncturist
N005250NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
William F Ryan Community Health Center Inc CurrentSince Dec 12, 2010 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Dec 12, 2010 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 9, 2022 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Aug 9, 2022 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Philip M. Palmeri, DPM, PC Podiatrist Past Accepting new patients
Ryan-Chelsea Clinton Community Health Center Past Accepting new patients
Nymhc FPP Nephrology Past Accepting new patients
Kelly Lucas DPM PC PastSince Dec 15, 2019 Accepting new patients

Locations

1225 Gerard Ave
Bronx, NY 10452
Phone (718) 960-2777

545 E 142nd St
Bronx, NY 10454
Phone (718) 579-1719

50 Water St
Fl 3
New York, NY 10004

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

227 Madison St
Fl 1
New York, NY 10002
Phone (212) 238-7815

227 Madison St
New York, NY 10002
Phone (212) 238-7000

1901 1st Ave
Rm 5
New York, NY 10029
Phone (212) 423-7095

110 W 97th St
#0
New York, NY 10025

279 E 3rd St
New York, NY 10009
Phone (212) 477-8500

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: debora.velasco@wfrchc.eclinicaldirectplus.com
  • Direct secure messaging: dvelasco836944@nychhc.direct-ci.com

Organizations & group practices 9

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831110600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CHESTER ST",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523203",
            "telephone_number": "914-263-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 E 3RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100097813",
            "telephone_number": "212-477-8500",
            "fax_number": "212-473-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "DEBORA",
        "middle_name": "S",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N005250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.