Individual provider Active NPI

Mila Valdez

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1346302056
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
140304 Issued in NY
Practice address
1873 Eastern Pkwy
Brooklyn, NY 11233-3214
Phone
(718) 240-8600
NPI assigned
Dec 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 140304 NY Primary

Addresses

Primary practice location

1873 Eastern Pkwy
Brooklyn, NY 11233-3214

Mailing address

1 Brookdale PLZ Ste 666
Brooklyn, NY 11212-3139
Phone (718) 240-7143

Other identifiers 1

IdentifierTypeStateIssuer
00571040MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041124000391 NY Practitioner - Pediatric Medicine 9537124987 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
140304NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interfaith Professional Physician Services, P.C. Pediatrics CurrentSince Jun 23, 2020 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
LHHN Medical, P.C. Pediatrics Past Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

2554 Linden Blvd
Brooklyn, NY 11208
Phone (718) 240-5132

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1 Brookdale Plz
Ste 666
Brooklyn, NY 11212

465 New Lots Ave
Brooklyn, NY 11207
Phone (718) 240-5133

1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

Networks

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

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1346302056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ STE 666",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-7143",
            "fax_number": "718-240-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 EASTERN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333214",
            "telephone_number": "718-240-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "MILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "140304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00571040",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.