Valentine Public Health Consultant and Care Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD205405 Issued in LA

Legal business name

VALENTINE PUBLIC HEALTH CONSULTANT AND CARE CENTER

Practice address

12 39TH St
Irvington, NJ 07111-1250

Phone

(862) 944-4800

Fax

(973) 372-4421

NPI assigned

Jul 15, 2014

Last updated

Jul 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gardy Valentin, MD

Title

Medical Director

Phone

(225) 663-2445

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1447667126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064133",
            "telephone_number": "225-663-2445",
            "fax_number": "225-663-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 39TH ST",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071111250",
            "telephone_number": "862-944-4800",
            "fax_number": "973-372-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTINE PUBLIC HEALTH CONSULTANT AND CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "GARDY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "225-663-2445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD205405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Irvington, NJ
• Providers in Irvington, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.