Organization Active NPI

Valley Interventional Associates LLC

  • Medical Specialty Clinic/Center
  • Oakland, NJ
National Provider Identifier
1699465922
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
VALLEY INTERVENTIONAL ASSOCIATES LLC
Practice address
43 Yawpo Ave Ste 7
Oakland, NJ 07436-2717
Phone
(201) 416-8080
Fax
(201) 416-8088
NPI assigned
May 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Mr. John Lee, MDNPI 1154502045
Title
Owner
Phone
(917) 692-5007

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)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

43 Yawpo Ave Ste 7
Oakland, NJ 07436-2717

Mailing address

43 Yawpo Ave Ste 7
Oakland, NJ 07436-2717
Phone (201) 416-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230606000760 NJ Part B Supplier - Clinic/Group Practice 6204293327 Receives reassigned benefits from 2 practitioners
Practice locations: Oakland, NJ

National Provider Directory

National Provider Directory

Locations

43 Yawpo Ave
Oakland, NJ 07436
Phone (201) 337-0066

43 Yawpo Ave
Ste 7
Oakland, NJ 07436
Phone (201) 416-8080

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1699465922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 YAWPO AVE STE 7",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362717",
            "telephone_number": "201-416-8080",
            "fax_number": "201-416-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 YAWPO AVE STE 7",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362717",
            "telephone_number": "201-416-8080",
            "fax_number": "201-416-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY INTERVENTIONAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-692-5007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.

Verify at the official NPI Registry.