Individual provider Active NPI

Emmanuel Valery, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1750334157
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
181472 Issued in NY
Practice address
86 E 49TH Street
Suite C&D
Brooklyn, NY 11203-1901
Phone
(718) 940-0400
Fax
(718) 940-8327
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 181472 NY Primary

Addresses

Primary practice location

86 E 49TH Street
Suite C&D
Brooklyn, NY 11203-1901

Mailing address

86 E 49 Street
Brooklyn, NY 11203-1901
Phone (718) 940-0400

Other identifiers 10

IdentifierTypeStateIssuer
01463432MedicaidNY
181472OtherNYHIP
181472-A18OtherNYHEALTH FIRST
10466OtherNYELDER PLAN
431742NOtherNYCIGNA
604058OtherNYAETNA US HEALTHCARE
2599775OtherNYGHI
264700101OtherNYHEALTH PLUS
P481609OtherNYOXFORD
010AZ1OtherNYBLUE CROSS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091021000649 NY Practitioner - Internal Medicine 9638216799 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lasante Health Center IncGroup PAC ID 6204117872, 3 clinicians

Practice addresses (Care Compare)

672 Parkside Ave
FL 2
Brooklyn, NY 11226-2298
Phone (718) 246-5700

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
181472NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Physician Services, PC CurrentSince Nov 28, 2016 Accepting new patients
Lasante Health Center Inc CurrentSince May 22, 2017 Accepting new patients
Kings Physician Services, PC CurrentSince Nov 28, 2016 Accepting new patients
Park Slope Medical Service PC Past Accepting new patients

Locations

672 Parkside Ave
Ste 2
Brooklyn, NY 11226
Phone (718) 246-5700

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

1910 Nostrand Ave
Brooklyn, NY 11226
Phone (718) 284-4440

5923 16th Ave
Brooklyn, NY 11204
Phone (718) 259-6122

672 Parkside Ave
Fl 4
Brooklyn, NY 11226
Phone (718) 282-7800

506 6th St
Ste B
Brooklyn, NY 11215
Phone (718) 780-3677

672 Parkside Ave
Brooklyn, NY 11226
Phone (718) 246-5700

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1750334157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 E 49 STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031901",
            "telephone_number": "718-940-0400",
            "fax_number": "718-940-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 E 49TH STREET",
            "address_2": "SUITE C&D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112031901",
            "telephone_number": "718-940-0400",
            "fax_number": "718-940-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERY",
        "first_name": "EMMANUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "181472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01463432",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "181472",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "181472-A18",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDER PLAN",
            "identifier": "10466",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "431742N",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "604058",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2599775",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "264700101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P481609",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "010AZ1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.