Active NPI
Margarita Valdivieso
- Specialist
- Astoria, NY
National Provider Identifier
1881090389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1164073
- Practice address
- 2605 14TH PL
Apt 1L
Astoria, NY 11102-4112 - Phone
- (516) 424-2412
- NPI assigned
- Nov 10, 2014
- Last updated
- Nov 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1164073 | NY | Primary |
Addresses
Primary practice location
2605 14TH PL
Apt 1L
Astoria, NY 11102-4112
Mailing address
2605 14TH PL
Apt 1L
Astoria, NY 11102-4112
Phone (516) 424-2412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1164073 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Success Strategies LLC | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Astoria, NY
- NPI 1053164244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1881090389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 14TH PL",
"address_2": "APT 1L",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111024112",
"telephone_number": "516-424-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 14TH PL",
"address_2": "APT 1L",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111024112",
"telephone_number": "516-424-2412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDIVIESO",
"first_name": "MARGARITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-10",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1164073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
- V&R RX Inc (Netrx Pharmacy & Optical)
- Paul Richard Vaher
- Jackelyn Vakalopoulos
- Juan Carlos Valderrama Castillo
- Jonathan Aaron Valdez, RDN, CSG, CDN, CDE
- Sasha Cherrie Valero, NYS TEACHING CERT.
- Michael Angelo Valladares, PHARMD, RPH
- Sarah Vallancourt
- Danielle Marie Valle, DPT
- Stephanie Angela Van Rossem
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.