Individual provider Active NPI

Vanessa Valenti, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • East Setauket, NY
National Provider Identifier
1336472125
Registry record updated Jun 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
013020 Issued in NY
Practice address
210 Belle Mead Rd
East Setauket, NY 11733
Phone
(631) 689-1400
Fax
(631) 689-1595
NPI assigned
Sep 10, 2009
Last updated
Jun 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 013020 NY Primary

Addresses

Primary practice location

210 Belle Mead Rd
East Setauket, NY 11733

Mailing address

210 Belle Mead Road
East Setauket, NY 11733-3522
Phone (631) 689-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100828000014 NY Practitioner - Physician Assistant 5395869341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor View Medical Services PCGroup PAC ID 5092865873, 58 clinicians

Practice addresses (Care Compare)

210 Bellemeade Rd
East Setauket, NY 11733-3522
Phone (631) 689-1400

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
013020NYMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor View Medical Services PC CurrentSince Jun 1, 2022 Accepting new patients
Harbor View Medical Services PC CurrentSince Jun 1, 2022 Accepting new patients
Harbor View Medical Services PC Past Accepting new patients

Locations

210 N Belle Mead Rd
East Setauket, NY 11733
Phone (631) 689-1400

75 N Country Rd
Ste 1001
Port Jefferson, NY 11777
Phone (631) 689-1400

75 N Country Rd
Prt Jefferson, NY 11777
Phone (631) 463-1320

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8551/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vanessa.valenti.1@8551.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1336472125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BELLE MEAD ROAD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333522",
            "telephone_number": "631-689-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 BELLE MEAD RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "631-689-1400",
            "fax_number": "631-689-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTI",
        "first_name": "VANESSA",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "013020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.