Amanda Paola Valencia, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

012220 Issued in NY

Practice address

10114 39TH Ave
1St Floor
Corona, NY 11368-4805

Phone

(718) 639-3102

NPI assigned

Nov 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CJDDCA/Endpoint/CJDDCA

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

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1578744652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 46TH ST APT 4F",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041834",
            "telephone_number": "718-786-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10114 39TH AVE",
            "address_2": "1ST FLOOR",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113684805",
            "telephone_number": "718-639-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "AMANDA",
        "middle_name": "PAOLA",
        "name_prefix": "Miss",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-17",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "012220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• United Cerebral Palsy Assoc of Nys Inc.
• Urban Health Plan, Inc.
• Nohely Yarassell Uribe, NP
• Milagros Valdivia, M.S.,CCC-SLP
• Valencia Health Medical PC
• Leslie-Anne Valiente
• Van Uden Center
• Alfonso Van Uden, N.D.
• Jose Gregorio Vargas Ortega, RN
• Edgar Vargas

• Physician Assistant in Corona, NY
• Providers in Corona, 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 Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.