Valley Stream Medical Associates, P.C.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

VALLEY STREAM MEDICAL ASSOCIATES, P.C.

Practice address

15 Fletcher Ave
Valley Stream Medical Associates, P.C.
Valley Stream, NY 11580-4000

Phone

(516) 825-3666

Fax

(516) 872-5133

NPI assigned

Aug 30, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roman Peter Urbanczyk, MDNPI 1114933918

Title

President

Phone

(516) 825-3666

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHCDBD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roman Peter Urbanczyk, M.D.

  • Internal Medicine Physician
  • Valley Stream, NY
  • NPI 1114933918
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1033665013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FLETCHER AVE",
            "address_2": "VALLEY STREAM MEDICAL ASSOCIATES, P.C.",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804000",
            "telephone_number": "516-825-3666",
            "fax_number": "516-872-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FLETCHER AVE",
            "address_2": "VALLEY STREAM MEDICAL ASSOCIATES, P.C.",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804000",
            "telephone_number": "516-825-3666",
            "fax_number": "516-872-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY STREAM MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "URBANCZYK",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-825-3666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01618368",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valley Health Associates, Inc.
• Valley Home Care Inc.
• Valley Medical Care PC
• Valley Stream Central High School District
• Valley Stream Chiropractor PC
• Valley Stream Medical PC
• Valley Stream Medical Services PC
• Valley Stream Optomerty & Optician PLLC
• Valley Stream Optometric Services PC
• Valley Stream Optometry PLLC

• Pulmonary Disease Physician in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.