Valentin Pardo Jovellanos, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

221990 Issued in NY

Practice address

20 Sherman Ave
New York, NY 10040-1654

Phone

(212) 567-1030

Fax

(212) 567-0977

NPI assigned

May 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043428204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SUNSET RD",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131331",
            "telephone_number": "845-613-7049",
            "fax_number": "212-567-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SHERMAN AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401654",
            "telephone_number": "212-567-1030",
            "fax_number": "212-567-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOVELLANOS",
        "first_name": "VALENTIN",
        "middle_name": "PARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "221990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02177484",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radoslav Jovanovic, M.D.
• Stefania Jovanovic, M.D.
• Jackie Jove-Altman, PH.D.
• Charles Michael Jovellano, FNP-BC
• Jeremy Val Jovellanos, MD
• Narcisa Dana Jovic, IBCLC
• Sofija Jovic, PH.D.
• Luydmila Jovine, L.C.S.W.
• David Jow, RPH
• Joy Ko DDS, PLLC

• Pediatric Adolescent Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.