Individual provider Active NPI

Valerie Rose Sprovieri, PA-C

  • Physician Assistant
  • Bronx, NY
National Provider Identifier
1679373732
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1232039 Issued in NY
Practice address
6301 Riverdale Ave
Bronx, NY 10471-1046
Phone
(718) 405-3200
NPI assigned
Mar 18, 2025
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1232039 NY Primary

Addresses

Primary practice location

6301 Riverdale Ave
Bronx, NY 10471-1046

Mailing address

6301 Riverdale Ave
Bronx, NY 10471-1046
Phone (718) 405-3200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251211002419 NY Practitioner - Physician Assistant 4789178278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

33 Cedar St
Suite 6
Rye, NY 10580-2091

86 Sunny Ridge Rd
Harrison, NY 10528-2206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1232039NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan L. Nelson, M.D., P.C. CurrentSince Dec 4, 2025 Accepting new patients

Locations

33 Cedar St
Ste 6
Rye, NY 10580
Phone (914) 251-9110

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1679373732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711046",
            "telephone_number": "718-405-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711046",
            "telephone_number": "718-405-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPROVIERI",
        "first_name": "VALERIE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "1232039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.