NPIMap

Organization Active NPI

Valley Physician Services, Ny, PC

  • Clinical Cardiac Electrophysiology Physician
  • Ridgewood, NJ
National Provider Identifier
1457626558
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
VALLEY PHYSICIAN SERVICES, NY, PC
Practice address
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone
(201) 432-7837
NPI assigned
Mar 21, 2012
Last updated
Mar 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Audrey Meyers
Title
Ceo
Phone
(201) 447-8021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X Primary

Addresses

Primary practice location

223 N Van Dien Ave
Ridgewood, NJ 07450-2726

Mailing address

PO Box 8500-7402
Philadelphia, PA 19178-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120423000424 NY Part B Supplier - Clinic/Group Practice 3678734449 Receives reassigned benefits from 24 practitioners
Practice locations: Middletown, NY; New York, NY; Nanuet, NY
O20120502000446 NJ Part B Supplier - Clinic/Group Practice 3678734449 Receives reassigned benefits from 21 practitioners
Practice locations: Paramus, NJ

National Provider Directory

National Provider Directory

Locations

140 E Ridgewood Ave
Ste 720
Paramus, NJ 07652
Phone (201) 432-7837

1200 E Ridgewood Ave
Ste 309
Ridgewood, NJ 07450

1578 Route 23
Ste 103
Wayne, NJ 07470
Phone (973) 706-0237

2 Edgewater Dr
Middletown, NY 10940
Phone 8453424774404

111 W 57th St
Ste 1403
New York, NY 10019
Phone (212) 765-0765

1790 Broadway
Ste 800
New York, NY 10019
Phone (212) 432-7837

Practitioners & affiliated clinicians

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1457626558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-7402",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N VAN DIEN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502726",
            "telephone_number": "201-432-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHYSICIAN SERVICES, NY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "201-447-8021"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.