John-Eric Vallarta, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

26NJ00341600 Issued in NJ

Practice address

1 Bay Avenue
Mountainside Medical Center
Montclair, NJ 07042

Phone

(973) 429-6000

NPI assigned

Jun 24, 2006

Last updated

Oct 19, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ, MO2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Valley Anesthesiology PAGroup PAC ID 0749194868, 85 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Valley Anesthesiology, P.a.

  • Anesthesiology Physician
  • Englewood, NJ
  • NPI 1245289487
  Medicare reassignment Care Compare group NPD
• Prime Healthcare Services - St. Mary's Passaic, LLC

  dba St. Mary's Hospital

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1730508250
  Medicare reassignment NPD
• Midwest Anesthesia Providers S.C

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1295189082

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• North American Partners in Anesthesia of New Jersey LLC

  • Anesthesiology Physician
  • Brick, NJ
  • NPI 1548433048
  NPD
• Prime Healthcare Services - St. Mary's Passaic LLC

  dba St. Mary's Hospital

  • General Acute Care Hospital
  • Passaic, NJ
  • NPI 1770901761
  NPD
• Allied Digestive Health, LLC

  • Gastroenterology Physician
  • West Long Beach, NJ
  • NPI 1265831259
  NPD (past)
• Burlington Anesthesia Associates, PA

  • Anesthesiology Physician
  • Mount Holly, NJ
  • NPI 1427096445
  NPD (past)
• Jersey Shore Anesthesiology Associates PA

  • Anesthesiology Physician
  • Neptune, NJ
  • NPI 1538190764
  NPD (past)
• Liberty Anesthesia, PC

  • Anesthesiology Physician
  • Freehold, NJ
  • NPI 1548214075

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Pain Institute of New Jersey, PA

  • Pain Medicine (Anesthesiology) Physician
  • Neptune, NJ
  • NPI 1598796740
  NPD (past)
• Princeton Anesthesia Services, PC

  • Anesthesiology Physician
  • Monroe, NJ
  • NPI 1356608822

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Shore Gastroenterology Associates PC

  • Specialist
  • Oakhurst, NJ
  • NPI 1093719809
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1497781140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PINE TREE DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705426",
            "telephone_number": "732-236-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAY AVENUE",
            "address_2": "MOUNTAINSIDE MEDICAL CENTER",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-429-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Meadowlands Parkway",
            "address_purpose": "LOCATION",
            "city": "Secucus",
            "state": "NJ",
            "postal_code": "07094",
            "country_code": "US",
            "telephone_number": "201-819-2099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLARTA",
        "first_name": "JOHN-ERIC",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "5116A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ00341600",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26N011136700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000521892",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100005840",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• United Woundcare Institute PC
• Universal Counseling LLC
• Upper Montclair Eye Care & Wear LLC
• Frances Adele Vadas, LCSW
• Ketaki Vaidhyanathan, M.D.
• Ann Frances Vallone, NURSE PRACTITIONER
• Franz Emmanuelle Valmores, MD
• Van Dyk Healthcare, Inc.
• Peggy Van Raalte, PSY.D
• Deborah Diane Vaphides, ACUPUNCTURIST

• Certified Registered Nurse Anesthetist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Certified Registered Nurse Anesthetist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.