Active NPI
Ramon Vallarino Jr MD PC
- Rehabilitation Clinic/Center
- Jackson Heights, NY
National Provider Identifier
1871862573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 205319
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01756041 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.