NPIMap

Organization Active NPI

Pleasant Valley Medical Care PLLC

  • Adolescent Medicine (Internal Medicine) Physician
  • Pleasant Valley, NY
National Provider Identifier
1306566633
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
Legal business name
PLEASANT VALLEY MEDICAL CARE PLLC
Practice address
1339 Route 44
Pleasant Valley, NY 12569-7825
Phone
(646) 943-3906
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Dr. Edmond Kurtovic, MDNPI 1780116756
Title
Medical Doctor
Phone
(646) 943-3906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0000X Primary

Addresses

Primary practice location

1339 Route 44
Pleasant Valley, NY 12569-7825

Mailing address

1339 Route 44
Pleasant Valley, NY 12569-7825
Phone (646) 943-3906

Other names 1

  • Pleasant Valley Medical Care Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Edmond.kurtovic
Other URL Website

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230110000095 NY Part B Supplier - Clinic/Group Practice 3476923483 Receives reassigned benefits from 2 practitioners
Practice locations: Hudson, NY; Pleasant Valley, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1306566633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 ROUTE 44",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125697825",
            "telephone_number": "646-943-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 ROUTE 44",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125697825",
            "telephone_number": "646-943-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "KURTOVIC",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "646-943-3906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Edmond.kurtovic",
            "affiliation": "N",
            "address_1": "1339 Route 44",
            "city": "Pleasant Valley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125697825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Website",
            "affiliation": "N",
            "address_1": "1339 Route 44",
            "city": "Pleasant Valley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125697825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pleasant Valley Medical Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pleasant Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.