DR. MARCELO VELAZQUEZ (NPI# 1689712895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689712895 |
| Entity Type | Individual |
| Full Name | DR. MARCELO VELAZQUEZ |
| Credential | PH.D |
| Practice Address |
1160 Raymond Blvd Newark NJ 07102-4168 |
| Mailing Address |
5701 Kennedy Blvd E Apt. 3g West New York NJ 07093-3611 |
| Practice Telephone | 9735963925 |
| Mailing Telephone | 2018695634 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1160 RAYMOND BLVD |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-4168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447244967 | Angel A Hernandez | Psychiatry & Neurology | 1160 Raymond Blvd, Newark, NJ 07102-4199 | 2005-09-12 |
| 1780884031 | Cathedral Physician Group, PC | Family Medicine | 1160 Raymond Blvd, 8th Floor - Physician Services, Newark, NJ 07102-4168 | 2007-07-24 |
| 1669597837 | James Francis Tortora | Psychologist | 1160 Raymond Blvd, Newark, NJ 07102 | 2007-03-20 |
| 1538283346 | Sheila Crowe | Nutritionist | 1160 Raymond Blvd, 4th Floor, Newark, NJ 07102-4168 | 2007-03-19 |
| 1972635712 | Marise Carraha | Registered Nurse | 1160 Raymond Blvd, 2nd Floor, Newark, NJ 07102 | 2007-03-09 |
| 1104957968 | Renee Cheryl Williams | Registered Nurse | 1160 Raymond Blvd, Newark, NJ 07102-4168 | 2007-03-07 |
| 1013059575 | Vody Elaine Vincent | Registered Nurse | 1160 Raymond Blvd, 5th Floor, Newark, NJ 07102-4168 | 2007-02-13 |
| 1457491250 | Garnnette D Ali | Registered Nurse | 1160 Raymond Blvd, 5th Floor, Newark, NJ 07102-4168 | 2007-02-08 |
| 1477607851 | Rafael M Tortosa-nacher | Psychiatry & Neurology | 1160 Raymond Blvd, Newark, NJ 07102-4168 | 2007-01-22 |
| 1740344076 | Ccs - Partenership for Children | Community/Behavioral Health | 1160 Raymond Blvd, Newark, NJ 07102-4168 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502115 | Jaclyn Marie Tomasetti | Counselor | 5 Cognac Dr, Newark, DE 19702-5507 | 2020-09-14 |
| 1770195422 | Emily S Moley | Counselor | 125 Blossom Rd, Newark, NY 14513-2010 | 2020-08-23 |
| 1871104000 | Jump Kids LLC | Counselor | 16 Foster St, Newark, NJ 07114-1327 | 2020-08-11 |
| 1326665480 | Deandra Guzman | Counselor | 431-435 18th Avenue, Newark, NJ 07108 | 2020-07-06 |
| 1992328587 | Steven Forrester Coleman Sr. | Counselor | 276 E Main St Ste 203, Newark, DE 19711-7356 | 2020-05-18 |
| 1851912620 | Shaista Sowell | Counselor | 162 Clinton Pl, Newark, NJ 07112-1602 | 2020-05-02 |
| 1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
| 1275173049 | Ibn Abdush Musa Ahmad | Counselor | 182 Johnson Ave, Newark, NJ 07108-2709 | 2020-01-09 |
| 1629617303 | Alyana Blythe | Counselor | 262 Chapman Rd Bldg Suite100, Newark, DE 19702-5448 | 2019-12-30 |
| 1194364141 | Healing Source LLC | Counselor | 35 Wenark Dr Apt 2, Newark, DE 19713-1445 | 2019-12-21 |
| Find all providers in NEWARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.