Individual provider Active NPI

Valsa John, N.P.

  • Adult Health Nurse Practitioner
  • Jamaica, NY
National Provider Identifier
1700955481
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F302412-1 Issued in NY
Practice address
8742 169TH St
Jamaica, NY 11432-3632
Phone
(718) 206-2222
Fax
(866) 324-4362
NPI assigned
Nov 7, 2006
Last updated
Apr 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F302412-1 NY Primary

Addresses

Primary practice location

8742 169TH St
Jamaica, NY 11432-3632

Mailing address

8742 169TH St
Jamaica, NY 11432-3632
Phone (718) 206-2222

Other identifiers 1

IdentifierTypeStateIssuer
02515222MedicaidNY

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
I20040515000245 NY Practitioner - Nurse Practitioner 5092705608 Reassigns benefits to 6 organizations
Practice locations: Garden City Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
FH Medical Care PLLCGroup PAC ID 1850662313, 4 clinicians

Practice addresses (Care Compare)

41 C W Merrick Rd
Suite 3
Valley Stream, NY 11580-5703
Phone (516) 599-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
302412NYMDInternal Medicine Physician
F302412-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Li Medical Group PLLC CurrentSince Oct 1, 2022 Accepting new patients
Tendercare NP House Calls, LLC CurrentSince Jun 27, 2025 Accepting new patients
Statmd Physicians, PLLC CurrentSince Sep 1, 2022 Accepting new patients
FC Nutrition Care PC CurrentSince Jun 1, 2024 Accepting new patients
FH Medical Care PLLC CurrentSince Jun 1, 2024 Accepting new patients
Queens Medical Health Wellness PC CurrentSince Aug 1, 2021 Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients

Locations

2029 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 352-7828

2090 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 352-7828

21318 Union Tpke
Oakland Gdns, NY 11364
Phone (718) 465-3200

41C W Merrick Rd
Ste 3
Valley Stream, NY 11580
Phone (516) 599-5600

Interoperability endpoints

  • Direct secure messaging: jvalsa@1621.mdlanddirect.com

Organizations & group practices 8

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1700955481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8742 169TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323632",
            "telephone_number": "718-206-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8742 169TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323632",
            "telephone_number": "718-206-2222",
            "fax_number": "866-324-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "VALSA",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F302412-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02515222",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.