Isabel Odeida Velez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA10374000 Issued in NJ

Practice address

12-15 Broadway Ste 2a
Fair Lawn, NJ 07410-2031

Phone

(201) 936-9660

Fax

(478) 202-9392

NPI assigned

Jan 14, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DDJIDD/Endpoint/DDJIDD
• Direct secure messaging: isabel.velez.1@31609.direct.athenahealth.com

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.

• Joyful Healthcare LLC

  • Pediatrics Physician
  • Fair Lawn, NJ
  • NPI 1104589118
  Medicare reassignment NPD Authorized official
• Garden State Healthcare Associates, LLC

  • Emergency Medicine Physician
  • Bayonne, NJ
  • NPI 1700014545
  Medicare reassignment NPD
• House Physician Partners, PC

  • Hospitalist Physician
  • Teaneck, NJ
  • NPI 1457377806
  Medicare reassignment NPD
• Holy Name Medical Center Inc.

  • General Acute Care Hospital
  • Teaneck, NJ
  • NPI 1104859131
  NPD (past)
• Humc Opco LLC

  • General Acute Care Hospital
  • Hoboken, NJ
  • NPI 1043475668
  NPD (past)

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1992194906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 SANDERS PL",
            "city": "BUTLER",
            "state": "NJ",
            "postal_code": "074051211",
            "telephone_number": "201-936-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12-15 BROADWAY STE 2A",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102031",
            "telephone_number": "201-936-9660",
            "fax_number": "478-202-9392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104577697",
            "country_code": "US",
            "telephone_number": "718-960-1416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3196 Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "NJ",
            "postal_code": "070872436",
            "country_code": "US",
            "telephone_number": "833-617-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "ISABEL",
        "middle_name": "ODEIDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "296016-1",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA10374000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vcorp Management Incorporated
• VDB Enterprises, LLC
• Ijaz Vehra, M.D, FACC
• Ana C Velazco
• Henry Velez, MD
• Diane Gloria Verga, M.D.
• John Francis Verney, LSW
• Rebecca Vicente, M.S.W., L.C.S.W.
• Jennifer J Victoria-Proano, MA, LAC, CBIS
• Vidya Vidyasagarrajan

• Pediatrics Physician in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.