Renald Valdemar, MT

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

017653 Issued in NY

Practice address

15 Azalia CT
Hempstead, NY 11550-1101

Phone

(347) 265-8656

NPI assigned

Mar 18, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1902267941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LINDEN BLVD",
            "address_2": "A4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112263178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 AZALIA CT",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115501101",
            "telephone_number": "347-265-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEMAR",
        "first_name": "RENALD",
        "name_prefix": "Mr.",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-18",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "NY",
            "license": "156692",
            "primary": false
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "NY",
            "license": "017653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Okoro Chigboh Ukpabi, M.D.
• Alexander Umali Jr.
• Ivonne Iveth Uzhca
• Vaa NP in Psychiatry PC
• Mirlene Valdemar, LPN
• Patricia Anna Valencia, M.S.ED.
• Carolyn Valenzuela, LCSW
• Valucare Inc
• Francely Valverde Sibaga
• Rose N. Valvezan, AU.D.

• Medical Technologist in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Medical Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.