Dr. Mauricio Velasco, MD
Internal Medicine in West New York, New Jersey
1508848979- Practice location
- 6500 Broadway, West New York, NJ 07093-3112
- Phone
- 201-864-3456
- Fax
- 201-869-7224
- Last updated
- October 13, 2010
Mauricio Velasco is an Internal Medicine based in West New York, NJ. Mauricio Velasco practices in West New York, NJ and has the professional credentials of MD. The NPI Number for Mauricio Velasco is 1508848979 and holds a License No. 25MA07598200 (NJ). The current practice location address for Mauricio Velasco is 6500 Broadway, West New York, NJ 07093-3112 and can be reached out via phone at 201-864-3456 and via fax at 201-869-7224.
Provider Profile Details
- NPI Number
- 1508848979
- Provider Name
- Mauricio Velasco
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 6500 Broadway, West New York, NJ 07093-3112
- Phone Number
- 201-864-3456
- Fax Number
- 201-869-7224
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 18, 2005
- Last Update Date
- October 13, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6500 Broadway
West New York, NJ 07093-3112 - City
- West New York
- State
- New Jersey
- Zip
- 07093-3112
- Phone Number
- 201-864-3456
- Fax Number
- 201-869-7224
Provider Business Mailing Address Details
- Address
- 6500 Broadway
West New York, NJ 07093-3112 - City
- West New York
- State
- NJ
- Zip
- 07093-3112
- Phone Number
- 201-864-3456
- Fax Number
- 201-869-7224
License Information
- License Number (1)
- 25MA07598200
- License State (1)
- NJ
- Taxonomy (1)
- Internal Medicine · 207R00000X · Primary
- License Number (2)
- 2342401
- License State (2)
- NY
- Taxonomy (2)
- Internal Medicine · 207R00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Mauricio Velasco, MD?
The NPI number of Dr. Mauricio Velasco, MD is 1508848979. It was assigned on November 18, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Mauricio Velasco, MD?
Dr. Mauricio Velasco, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA07598200.
Where does Dr. Mauricio Velasco, MD practice?
The practice location is 6500 Broadway, West New York, NJ 07093-3112. The office can be reached at 201-864-3456 (phone) or 201-869-7224 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508848979 directly on the NPPES registry website.