Active NPI
Michelle Valencia
- Medical Physician Assistant
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 355 Grand St
Jersey City, NJ 07302-4321 - Phone
- (201) 915-2000
- NPI assigned
- Aug 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
355 Grand St
Jersey City, NJ 07302-4321
Mailing address
104 62ND St Apt 8
West New York, NJ 07093-2929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
125 Mineola Ave
Suite 200
Roslyn Heights, NY 11577-2023
125 Mineola Ave
Suite 200
Roslyn Heights, NY 11577-2042
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028852 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bergen County Improvement Authority | Current | Accepting new patients | |
| New York Bariatric Surgery Group PLLC | Current | Accepting new patients | |
| Bergen County Improvement Authority | Current | Accepting new patients | |
| Bergen County Improvement Authority | Past | Accepting new patients |
Locations
523 Broadway
Bayonne, NJ 07002
Phone (201) 649-1190
1121 Route 22
Ste 203
Bridgewater, NJ 08807
Phone (908) 237-7412
28 Gibson Blvd
Clark, NJ 07066
98 James St
Ste 103
Edison, NJ 08820
Phone (732) 662-5888
98 James St
Ste 212
Edison, NJ 08820
Phone (732) 548-1800
83 Hanover Rd
Ste 190
Florham Park, NJ 07932
Phone (973) 410-9700
230 Sherman Ave
Fl 2
Glen Ridge, NJ 07028
Phone (973) 750-0104
230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700
1 W Ridgewood Ave
Ste G2
Paramus, NJ 07652
Phone (201) 652-1213
120 Cedar Grove Ln
Ste T14
Somerset, NJ 08873
355 US Highway 22 E
Springfield, NJ 07081
Phone (908) 325-3000
197 Cedar Ln
Ste 2
Teaneck, NJ 07666
Phone (201) 591-9840
1680 State Route 23
Ste 180
Wayne, NJ 07470
Phone (484) 934-1070
340 Broadhollow Rd
Ste 2
Farmingdale, NY 11735
496 County Road 111
Bldg D
Manorville, NY 11949
Phone (631) 405-3200
233 W Route 59
Ste 103
Nanuet, NY 10954
125 Mineola Ave
Ste 200
Roslyn Hts, NY 11577
Phone 5166165500800
Interoperability endpoints
- mvalencia840812@ahs.direct-ci.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Paramus, NJ
- NPI 1891836441
-
- Specialist
- Roslyn Heights, NY
- NPI 1164898821
-
- Specialist
- Wayne, NJ
- NPI 1548735145
-
- Emergency Medicine Physician
- Somerset, NJ
- NPI 1912510041
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
-
- Internal Medicine Physician
- Passaic, NJ
- NPI 1033578075
-
- Internal Medicine Physician
- Passaic, NJ
- NPI 1477261741
-
- Psychiatric Hospital Unit
- Paramus, NJ
- NPI 1952456295
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1689682999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1720714728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 62ND ST APT 8",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070932929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 GRAND ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024321",
"telephone_number": "201-915-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENCIA",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-01",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.