Individual provider Active NPI

Jessica Lauren Valle, PA-C

  • Medical Physician Assistant
  • Suffern, NY
National Provider Identifier
1881945343
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
222 Route 59
Suite 109
Suffern, NY 10901-5204
Phone
(845) 357-7277
Fax
(845) 357-5516
NPI assigned
Sep 25, 2012
Last updated
Jan 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary
Medical Physician Assistant 363AM0700X 016056-1 NY

Addresses

Primary practice location

222 Route 59
Suite 109
Suffern, NY 10901-5204

Mailing address

222 Route 59
Suite 109
Suffern, NY 10901-5204
Phone (845) 357-7277

Other names 1

  • Jessica Lauren Oakes Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
016056-1NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Care of Rockland, P.C. Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1881945343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ROUTE 59",
            "address_2": "SUITE 109",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015204",
            "telephone_number": "845-357-7277",
            "fax_number": "845-357-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ROUTE 59",
            "address_2": "SUITE 109",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015204",
            "telephone_number": "845-357-7277",
            "fax_number": "845-357-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "016056-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "OAKES",
            "middle_name": "LAUREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 4, 2017; 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.