Organization Active NPI

Valley Physician Services PC

  • Internal Medicine Physician
  • Paramus, NJ
National Provider Identifier
1467815928
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VALLEY PHYSICIAN SERVICES PC
Practice address
15 Essex Rd
Paramus, NJ 07652-1451
Phone
(201) 291-6086
Fax
(201) 291-6138
NPI assigned
Apr 1, 2016
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Josette Portalatin
Title
Avp, Valley Health System
Phone
(201) 291-6017

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

15 Essex Rd
Paramus, NJ 07652-1451

Mailing address

15 Essex Rd
Paramus, NJ 07652-1451
Phone (201) 291-6086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, WA, PA, HI, MN, AZ, KY, OK, WI, DE, VA, MI, TX, PR, FL, DC, MD, MA, CA, KS, VT, OH, NY, UT, CT, TN, AL, GA, IL29 enrollments

Enrollment records 29

Enrollment IDStateProvider typePAC IDDetails
O20160802002824 NJ Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 895 practitioners
Practice locations: Tenafly, NJ; Saddle River, NJ; Ridgewood, NJ; Princeton, NJ; Paramus, NJ; Old Tappan, NJ; Hamilton, NJ; Glen Rock, NJ…
O20250305002663 WA Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 6 practitioners
Practice locations: Kenmore, WA; Bellevue, WA
O20250305003464 PA Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 4 practitioners
Practice locations: Girard, PA; Reading, PA; Wynnewood, PA
O20250310000670 HI Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 4 practitioners
Practice locations: Hilo, HI; Honolulu, HI; Kaneohe, HI
O20250325000647 MN Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 2 practitioners
Practice locations: Plymouth, MN
O20250326000866 AZ Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ
O20250331002543 KY Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 3 practitioners
Practice locations: Crestwood, KY; Louisville, KY
O20250401000779 OK Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 3 practitioners
Practice locations: Nichols Hills, OK; Oklahoma City, OK; Tulsa, OK
O20250401001771 WI Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 2 practitioners
Practice locations: Eau Claire, WI; Franklin, WI
O20250401002666 DE Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 1 practitioner
Practice locations: Magnolia, DE
O20250403001637 VA Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 4 practitioners
Practice locations: Danville, VA; Leesburg, VA; Suffolk, VA; Virginia Beach, VA
O20250415003850 MI Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 4 practitioners
Practice locations: Ann Arbor, MI; Grand Rapids, MI; Midland, MI; West Bloomfield, MI
O20250430000576 TX Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 9 practitioners
Practice locations: San Antonio, TX; Plano, TX; Houston, TX; Harlingen, TX; Dallas, TX; Bellaire, TX
O20250506002353 PR Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR
O20250516001389 FL Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 10 practitioners
Practice locations: Winter Park, FL; Delray Beach, FL; Windermere, FL; Miami Beach, FL; St Petersburg, FL; Boca Raton, FL
O20250522001332 DC Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 3 practitioners
Practice locations: Gaithersburg, MD; Potomac, MD; Arlington, VA
O20250603003313 MD Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 1 practitioner
Practice locations: Pikesville, MD
O20250613000564 MA Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 5 practitioners
Practice locations: Worcester, MA; Lexington, MA; Arlington, MA; Dedham, MA
O20250627001978 CA Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 11 practitioners
Practice locations: Irvine, CA; Los Angeles, CA; Marina del Rey, CA; Pleasanton, CA; San Diego, CA; San Luis Obispo, CA; Seal Beach, CA
O20250714001802 KS Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS
O20250815001482 VT Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 1 practitioner
Practice locations: Stowe, VT
O20250820000990 OH Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 3 practitioners
Practice locations: Dublin, OH; Lyndhurst, OH
O20251120003872 NY Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 49 practitioners
Practice locations: Manhasset, NY; Long Island City, NY; New York, NY; Port Washington, NY; Roslyn Heights, NY; Scarsdale, NY; Woodmere, NY; Armonk, NY…
O20251204001331 UT Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT
O20251217003141 CT Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 4 practitioners
Practice locations: Greenwich, CT; Ridgefield, CT; Weston, CT
O20260106002341 TN Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 1 practitioner
Practice locations: Knoxville, TN
O20260114002723 AL Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 1 practitioner
Practice locations: Hoover, AL
O20260318002382 GA Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 2 practitioners
Practice locations: Atlanta, GA
O20260402002922 IL Part B Supplier - Clinic/Group Practice 3577857333 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL; Darien, IL

National Provider Directory

National Provider Directory

Locations

15 Essex Rd
Ste 506
Paramus, NJ 07652
Phone 2014478000 ext. 0189

Practitioners & affiliated clinicians

Practitioners 1,002

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 1,002

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1467815928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ESSEX RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521451",
            "telephone_number": "201-291-6086",
            "fax_number": "201-291-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ESSEX RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521451",
            "telephone_number": "201-291-6086",
            "fax_number": "201-291-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHYSICIAN SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "PORTALATIN",
        "authorized_official_first_name": "JOSETTE",
        "authorized_official_title_or_position": "AVP, VALLEY HEALTH SYSTEM",
        "authorized_official_telephone_number": "201-291-6017"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.