Organization Active NPI

Ramon Vallarino Jr MD PC

  • Rehabilitation Clinic/Center
  • Jackson Heights, NY
National Provider Identifier
1871862573
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
205319 Issued in NY
Legal business name
RAMON VALLARINO JR MD PC
Practice address
3704 91St St
Suite C
Jackson Heights, NY 11372-7914
Phone
(718) 396-1742
Fax
(718) 396-3297
NPI assigned
Dec 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Dr. Ramon Vallarino Jr., M.D.
Title
President
Phone
(516) 524-1605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 205319 NY Primary

Addresses

Primary practice location

3704 91St St
Suite C
Jackson Heights, NY 11372-7914

Mailing address

3704 91St St
Suite C
Jackson Heights, NY 11372-7914
Phone (718) 396-1742

Other identifiers 1

IdentifierTypeStateIssuer
01756041MedicaidNY

National Provider Directory

National Provider Directory

Locations

3704 91st St
Ste C
Jackson Hts, NY 11372
Phone (718) 396-1742

NPI Registry JSON

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

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1871862573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 91ST ST",
            "address_2": "SUITE C",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727914",
            "telephone_number": "718-396-1742",
            "fax_number": "718-396-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 91ST ST",
            "address_2": "SUITE C",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727914",
            "telephone_number": "718-396-1742",
            "fax_number": "718-396-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMON VALLARINO JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-26",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "VALLARINO",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-524-1605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NY",
            "license": "205319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01756041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.