Valentine Czubaroff, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD012130E Issued in PA

Practice address

4 Saddlebrook Circle
Media, PA 19063

Phone

(610) 524-1552

Fax

(610) 524-6039

NPI assigned

Sep 20, 2006

Last updated

Jun 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1649378480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SADDLEBROOK CIRCLE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-524-1552",
            "fax_number": "610-524-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SADDLEBROOK CIRCLE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "19063",
            "telephone_number": "610-524-1552",
            "fax_number": "610-524-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZUBAROFF",
        "first_name": "VALENTINE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD012130E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0031591000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015358120004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth White Cuorato, LMFT
• William H Curtis, PHD
• Jennifer Cutilli, MD
• Laura M Cybulski, DPT
• Carolyn Marie Czaja, RN, BSN, IBCLC
• Fred D'Alessandro, PT
• John D'Alonzo, MA
• Madison V D'Amico
• Frank L D'Elia, M.D.
• Carla Marie D'Olio, LPC

• Psychiatry Physician in Media, PA
• Providers in Media, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.