Active NPI
Ramon Vallarino Jr., MD
- Specialist
- Jackson Heights, NY
National Provider Identifier
1417936733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 205319-2
- Practice address
- 3704 91St St
Suite E
Jackson Heights, NY 11372-7914 - Phone
- (718) 396-1742
- Fax
- (718) 396-3297
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 205319-2 | NY | Primary |
Addresses
Primary practice location
3704 91St St
Suite E
Jackson Heights, NY 11372-7914
Mailing address
3704 91St St
Suite E
Jackson Heights, NY 11372-7914
Phone (718) 396-1742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01756041 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051024000525 | NY | Practitioner - Physical Medicine and Rehabilitation | 3072539527 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205319-2 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramon Vallarino, M.D., P.C. | Past | Accepting new patients | |
| Ramon Vallarino MD PC | Past | Accepting new patients | |
| Ramon Vallarino Jr, MDPC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1740553122
-
- Physical Medicine & Rehabilitation Physician
- Jackson Heights, NY
- NPI 1922294370
-
- Physical Medicine & Rehabilitation Physician
- Manhasset, NY
- NPI 1699961623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328227200000",
"number": "1417936733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3704 91ST ST",
"address_2": "SUITE E",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727914",
"telephone_number": "718-396-1742",
"fax_number": "718-396-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3704 91ST ST",
"address_2": "SUITE E",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727914",
"telephone_number": "718-396-1742",
"fax_number": "718-396-3297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLARINO",
"first_name": "RAMON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2012-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "205319-2",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01756041",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.