Individual provider Active NPI

Rina Valler

  • Specialist
  • Morganville, NJ
National Provider Identifier
1336494822
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2410488 Issued in NY
Practice address
719 Montana Dr
Morganville, NJ 07751-4647
Phone
(908) 770-2244
Fax
(732) 909-2576
NPI assigned
Jul 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2410488 NY Primary

Addresses

Primary practice location

719 Montana Dr
Morganville, NJ 07751-4647

Mailing address

719 Montana Dr
Morganville, NJ 07751-4647
Phone (908) 770-2244

Other names 1

  • Rina Valler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2410488NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1336494822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 MONTANA DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514647",
            "telephone_number": "908-770-2244",
            "fax_number": "732-909-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 MONTANA DR",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077514647",
            "telephone_number": "908-770-2244",
            "fax_number": "732-909-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLER",
        "first_name": "RINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2410488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RINA",
            "last_name": "VALLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morganville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.