Melissa Stephanie Velasquez, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00703400 Issued in NJ

Practice address

591 Franklin Ave
Nutley, NJ 07110-1284

Phone

(973) 916-0002

NPI assigned

Jun 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shah Anuj MD PCGroup PAC ID 5395006902, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Shah Anuj MD PC

  dba Apex Heart and Vascular Care

  • Interventional Cardiology Physician
  • Passaic, NJ
  • NPI 1215445127
  Medicare reassignment Care Compare group
• Bergenline Foot Care LLC

  • Podiatrist
  • Union City, NJ
  • NPI 1316377211
  NPD (past)
• Humberto T Perez MD PC

  • Family Medicine Physician
  • Jersey City, NJ
  • NPI 1629361290
  NPD (past)
• Immediate Care P.C.

  • Family Medicine Physician
  • Jersey City, NJ
  • NPI 1134105620
  NPD (past)
• Orion Healthcare LLC

  • Specialist
  • Maplewood, NJ
  • NPI 1952859522
  NPD (past)

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1881323269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FAIRWAY CT",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070763001",
            "telephone_number": "908-884-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 FRANKLIN AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101284",
            "telephone_number": "973-916-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "MELISSA",
        "middle_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00703400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judyth Valera, PA
• Jessica Varghese
• Pradosh Varghese
• Fernando Vazquez, MSW, LSW
• Edward J Vecchione, DO
• Marion Lyle Venadas
• Allan Harold Verter, DC
• Eliezer Willie Viera Sr., LMT
• Hope Chona Tan Villanueva, P.T.
• Rozann Vinci

• Physician Assistant in Nutley, NJ
• Providers in Nutley, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.