Organization Active NPI

Valley Health Medical Group-Ny, P.C.

  • Cardiovascular Disease Physician
  • Suffern, NY
National Provider Identifier
1851542039
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
VALLEY HEALTH MEDICAL GROUP-NY, P.C.
Practice address
15 Indian Rock
Route 59
Suffern, NY 10901-4907
Phone
(845) 533-4222
NPI assigned
Oct 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Dr. Phyllis E Marino, MD
Title
President
Phone
(201) 291-6120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

15 Indian Rock
Route 59
Suffern, NY 10901-4907

Mailing address

15 Essex Rd
Suite 504
Paramus, NJ 07652-1451
Phone (201) 291-6120

National Provider Directory

National Provider Directory

Locations

15 Indian Rock
#59
Suffern, NY 10901
Phone (845) 357-7717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1851542039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ESSEX RD",
            "address_2": "SUITE 504",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521451",
            "telephone_number": "201-291-6120",
            "fax_number": "201-291-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 INDIAN ROCK",
            "address_2": "ROUTE 59",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014907",
            "telephone_number": "845-533-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTH MEDICAL GROUP-NY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-291-6120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.