Organization Active NPI

D. Joel Valentini

  • Podiatrist
  • Troy, NY
National Provider Identifier
1073691242
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
002776-1 Issued in NY
Legal business name
D. JOEL VALENTINI
Practice address
500 Federal St Ste 601
Troy, NY 12180-2832
Phone
(518) 272-0881
Fax
(518) 279-7413
NPI assigned
Nov 2, 2006
Last updated
May 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
Dr. D. Joel Valentini, DPM
Title
DPM/Owner
Phone
(518) 272-0881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 002776-1 NY Primary

Addresses

Primary practice location

500 Federal St Ste 601
Troy, NY 12180-2832

Mailing address

PO Box 455
Troy, NY 12181-0455
Phone (518) 272-0881

Other identifiers 2

IdentifierTypeStateIssuer
00414613MedicaidNY
P00409335OtherNYRAILROAD MEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930094726 NY DME Supplier - Physician - Podiatry 9638277148 Practice locations: Troy, NY

National Provider Directory

National Provider Directory

Locations

2121 6th Ave
Ste 3
Troy, NY 12180
Phone (518) 272-0881

500 Federal St
Ste 601
Troy, NY 12180
Phone (518) 272-0881

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17706/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1073691242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121810455",
            "telephone_number": "518-272-0881",
            "fax_number": "518-272-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FEDERAL ST STE 601",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802832",
            "telephone_number": "518-272-0881",
            "fax_number": "518-279-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. JOEL VALENTINI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "VALENTINI",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "DPM/OWNER",
        "authorized_official_telephone_number": "518-272-0881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "002776-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00414613",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "P00409335",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.