Active NPI
Valley Health Medical Group-Ny, P.C.
- Cardiovascular Disease Physician
- Suffern, NY
National Provider Identifier
1851542039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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 DirectoryLocations
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.
-
- Specialist
- Ridgewood, NJ
- NPI 1396714051
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.