Active NPI
Dr. Ramon Valderrama M.D., PC
- Specialist
- New York, NY
National Provider Identifier
1639455355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 144213
- Legal business name
- DR. RAMON VALDERRAMA M.D., PC
- Practice address
- 30 E 60TH St
Suite 901
New York, NY 10022-1008 - Phone
- (212) 319-1929
- Fax
- (212) 223-3176
- NPI assigned
- Oct 26, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ramon Valderrama, M.D.
- Title
- President
- Phone
- (212) 319-1929
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 144213 | NY | Primary |
Addresses
Primary practice location
30 E 60TH St
Suite 901
New York, NY 10022-1008
Mailing address
30 E 60TH St
Suite 901
New York, NY 10022-1008
Phone (212) 319-1929
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00626384 | Medicaid | NY | |
| 144213 | Other | NY | NY STATE LIC NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
30 E 60th St
Ste 901
New York, NY 10022
Phone (212) 319-1929
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- New York, NY
- NPI 1922104215
-
- Internal Medicine Physician
- Jackson Heights, NY
- NPI 1144394784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319587200000",
"number": "1639455355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E 60TH ST",
"address_2": "SUITE 901",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221008",
"telephone_number": "212-319-1929",
"fax_number": "212-223-3176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E 60TH ST",
"address_2": "SUITE 901",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221008",
"telephone_number": "212-319-1929",
"fax_number": "212-223-3176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. RAMON VALDERRAMA M.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A",
"authorized_official_last_name": "VALDERRAMA",
"authorized_official_first_name": "RAMON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-319-1929",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "144213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00626384",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE LIC NUMBER",
"identifier": "144213",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Dr. Michelle Sheets Clinical Psychologist PLLC
- Dr. Miller Psychological Services PLLC
- Dr. Nanette Chiropractic, PLLC
- Dr. Paul Poulakos DO, PLLC
- Dr. Raeann M. Zschokke, DC, PLLC
- Dr. Rena Miller Psychological Services PLLC
- Dr. Ricardo E Pou Physician P.C.
- Dr. Richard Glisker, Psychologist, PLLC
- Dr. Richard M. Lyons
- Dr. Rob D'Aquila, DC, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.