Individual provider Active NPI

Christopher Valerian, D.O.

  • Family Medicine Physician
  • Glen Ridge, NJ
National Provider Identifier
1841462058
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB06978800 Issued in NJ
Practice address
38 Douglas Rd
Glen Ridge, NJ 07028-1107
Phone
(973) 393-2231
NPI assigned
Mar 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MB069788 NJ
Family Medicine Physician 207Q00000X 25MB06978800 NJ Primary

Addresses

Primary practice location

38 Douglas Rd
Glen Ridge, NJ 07028-1107

Mailing address

38 Douglas Rd
Glen Ridge, NJ 07028-1107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20031215000004 NJ Practitioner - Emergency MedicinePractitioner - Interventional Pain Management 3173420676 Practice locations: Glen Ridge, NJ

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB069788NJMDEmergency Medicine Physician
25MB06978800NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Essentials Plus PastSince May 16, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253836800000",
    "number": "1841462058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 DOUGLAS RD",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 DOUGLAS RD",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281107",
            "telephone_number": "973-393-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERIAN",
        "first_name": "CHRISTOPHER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2009-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MB069788",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB06978800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ridge, NJ

Sources for this page

Verify at the official NPI Registry.