Active NPI
Irene Vallejo
- Specialist
- Ridgewood, NY
National Provider Identifier
1003723909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2537671
- Practice address
- 1820 Menahan St # 2L
Ridgewood, NY 11385-1845 - Phone
- (917) 435-7233
- NPI assigned
- Aug 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2537671 | NY | Primary |
Addresses
Primary practice location
1820 Menahan St # 2L
Ridgewood, NY 11385-1845
Mailing address
1820 Menahan St # 2L
Ridgewood, NY 11385-1845
Phone (917) 435-7233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1003723909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 MENAHAN ST # 2L",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113851845",
"telephone_number": "917-435-7233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 MENAHAN ST # 2L",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113851845",
"telephone_number": "917-435-7233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLEJO",
"first_name": "IRENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "2537671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.