Valley Dolor LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

VALLEY DOLOR LLC

Practice address

1 Corwin CT
Newburgh, NY 12550-5190

Phone

(845) 391-0338

NPI assigned

Aug 20, 2024

Organization subpart

No

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

Authorized official

Name

Megan Nickerson, NPNPI 1275999047

Title

Nurse Practioner

Phone

(845) 391-0338

Specialties & licenses 1

Addresses

Other names 1

• Valley Dolor LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Nickerson, NP

  • Family Nurse Practitioner
  • Newburgh, NY
  • NPI 1275999047
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1487487039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CORWIN CT",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505190",
            "telephone_number": "845-391-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CORWIN CT",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505190",
            "telephone_number": "845-391-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DOLOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "NICKERSON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "845-391-0338",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Dolor LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Belinda Genevievre Valcourt, FNP
• Cynthia L. Valdina, COTA
• Rosenmarie Sophia Valentin, RN
• Anthony Valicenti Jr.
• Patrick Valicenti
• Laura F Van de Laar, NPP
• Lois Vanderbeck, RN
• Verona Vanhorne-Hall, LPN
• Debbie BC Vann, MHC-LP
• Constantine B Vardopoulos, M.D.

• Pain Clinic/Center in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Pain Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.