Valentina'S Intimate Apparel Shop, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

VALENTINA'S INTIMATE APPAREL SHOP, INC.

Practice address

796 Castleton Ave
Staten Island, NY 10310-1800

Phone

(718) 667-8217

Fax

(718) 667-8218

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Glenn EastonNPI 1467576066

Title

Owner

Phone

(718) 667-8217

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Glenn Easton, CO,BOCPO,LPO

  • Prosthetics Case Management
  • Freehold, NJ
  • NPI 1467576066
  NPD Authorized official

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1063569846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101800",
            "telephone_number": "718-667-8217",
            "fax_number": "718-667-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101800",
            "telephone_number": "718-667-8217",
            "fax_number": "718-667-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTINA'S INTIMATE APPAREL SHOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "EASTON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-667-8217",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01660291",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doris Valentin, CASAC
• Ivy Valentin
• Jasmin Valentin, LMSW
• Jordan Valentin
• Savannah Leigh Valentin
• Waajida Valentine-Nickelson
• Daniel A Valentine Jr., MD
• Daniela Valeri, MSED. BCBA
• Rowell Valeriano
• Ana Valerio, LMSW

• Customized Equipment (DME) in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.