Active NPI
Gilberto A Velez, MD
- Pediatric Adolescent Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 132510
- Practice address
- 1901 1St Ave
New York, NY 10029-7494 - Phone
- (212) 423-6313
- Fax
- (212) 423-7697
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 132510 | NY | Primary |
Addresses
Primary practice location
1901 1St Ave
New York, NY 10029-7494
Mailing address
503 Grasslands Rd
Ste 200
Valhalla, NY 10595-1503
Phone (914) 304-5288
Other practice location 1
503 Grasslands Rd
Ste 200
Valhalla, NY 10595-1503
Phone (914) 304-5288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00319282 | Medicaid | NY |
Other names 1
- Gilberto Angel Velez-Domenech
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Puerto Rico School of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Metropolitan Medical Practice Plan PC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- gvelezdomenech839737@nychhc.direct-ci.com
Organizations & group practices 3
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.
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- General Practice Physician
- New York, NY
- NPI 1306138383
-
dba Jacobi Medical Center
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1962402156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 GRASSLANDS RD",
"address_2": "STE 200",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951503",
"telephone_number": "914-304-5288",
"fax_number": "914-345-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100297494",
"telephone_number": "212-423-6313",
"fax_number": "212-423-7697"
}
],
"practiceLocations": [
{
"address_1": "503 Grasslands Rd",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Valhalla",
"state": "NY",
"postal_code": "105951503",
"country_code": "US",
"telephone_number": "914-304-5288",
"fax_number": "914-345-1755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELEZ",
"first_name": "GILBERTO",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "132510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00319282",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GILBERTO",
"last_name": "VELEZ-DOMENECH",
"middle_name": "ANGEL",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.