Mary Matina Valinotti, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

023757-01 Issued in NY

Practice address

332 E Main St Ste 1
Bay Shore, NY 11706-8436

Phone

(631) 666-0500

NPI assigned

Aug 15, 2019

Last updated

Jun 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAA
• Direct secure messaging: maryvalinotti@nslijmedgr.allscriptsdirect.net
• Direct secure messaging: mvalinotti@walkindermatology.emadirect.md

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.

• Bobby Buka, M.D., P.C.

  • Dermatology Physician
  • New York, NY
  • NPI 1134349954
  Medicare reassignment NPD
• Stacey F Brisman MD PC

  dba Walk- In Dermatology

  • Dermatology Physician
  • Greenvale, NY
  • NPI 1336618941
  Medicare reassignment
• Derm Specs of PA PLLC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1528823507
  NPD (past)

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1568018588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 E MAIN ST STE 1",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E MAIN ST STE 1",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068436",
            "telephone_number": "631-666-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1991 Marcus Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "North New Hyde Park",
            "state": "NY",
            "postal_code": "110422058",
            "country_code": "US",
            "telephone_number": "516-719-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALINOTTI",
        "first_name": "MARY",
        "middle_name": "MATINA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023757-01",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "023757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclynn Elinore Valdini, L.AC.
• Diana Jeannett Valentin, LPN
• Valentina Tolmacheva-Harrison
• Autumn M Valentine, RN
• Valarie Victoria Valentino, PA
• Sary Valles, R.N.
• Elizabeth Vander Schuyt, LCSW
• Emelin Vanegas, LMSW
• Eric Vannoy, M.D.
• Cynthia T Vardaro, LMSW

• Physician Assistant in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.