Eric Manuel Valdes, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02846000 Issued in NJ

Practice address

536 62ND St
West New York, NJ 07093-2553

Phone

(201) 854-2100

NPI assigned

Jun 25, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Valdes Dentistry

  • Dental Clinic/Center
  • West New York, NJ
  • NPI 1932876091
  NPD Authorized official

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1760052450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 62ND ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 62ND ST",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932553",
            "telephone_number": "201-854-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "ERIC",
        "middle_name": "MANUEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02846000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Universal Dental LLP
• Osniel Urquijo Sr.
• USA Chiropractic Center PC
• Valdes Dentistry
• Valdes Medical Supplies Limited
• Juan Manuel Valdes, DMD
• Nicole Fabico Vales-Buckwald, CPNP
• Billie J Vargas, RN
• Maryelena Vargas, FNP-BC, PHD, RN
• Anne Vasilyeva, NP

• General Practice Dentistry in West New York, NJ
• Providers in West New York, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.