Active NPI
Marvin Valentine
- Contractor
- Drexel Hill, PA
National Provider Identifier
1023955259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 27508828
- Practice address
- 3817 James Street
124 Burmont Rd
Drexel Hill, PA 19026-2035 - Phone
- (267) 797-7789
- NPI assigned
- May 4, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 27508828 | PA | Primary |
Addresses
Primary practice location
3817 James Street
124 Burmont Rd
Drexel Hill, PA 19026-2035
Mailing address
124 Burmont Rd
Drexel Hill, PA 19026-2035
Phone (267) 797-7789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27508828 | PA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1023955259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 BURMONT RD",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190262035",
"telephone_number": "267-797-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3817 JAMES STREET",
"address_2": "124 BURMONT RD",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190262035",
"telephone_number": "267-797-7789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "MARVIN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-04",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor",
"state": "PA",
"license": "27508828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Drexel Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.