Healthcare Provider Details

I. General information

NPI: 1306983432
Provider Name (Legal Business Name): MARGARITA MARIA VELEZ-MCEVOY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 BERGEN ST
NEWARK NJ
07107-3001
US

IV. Provider business mailing address

110 MAPLE ST
DUMONT NJ
07628-3110
US

V. Phone/Fax

Practice location:
  • Phone: 973-972-8948
  • Fax: 973-972-8775
Mailing address:
  • Phone: 201-387-2971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberNR08891200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number26NR08891200
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License Number26NR08891200
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: