Ovalle Mobile Medical, LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

OVALLE MOBILE MEDICAL, LLC

Practice address

111 Avalon Gardens Dr
Nanuet, NY 10954-7415

Phone

(845) 370-2655

NPI assigned

Jan 2, 2024

Organization subpart

No

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

Authorized official

Name

Fazeila Baksh-Ovalle, NHA-PBT

Title

Owner/Ceo

Phone

(845) 370-2655

Specialties & licenses 2

Addresses

Other names 1

• Ovalle Mobile Medical, LLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fazeila Ovalle, PBT

  • Technician
  • Nanuet, NY
  • NPI 1801595152
  NPD

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1942070966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 AVALON GARDENS DR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109547415",
            "telephone_number": "845-370-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 AVALON GARDENS DR",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109547415",
            "telephone_number": "845-370-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVALLE MOBILE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "BAKSH-OVALLE",
        "authorized_official_first_name": "FAZEILA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "845-370-2655",
        "authorized_official_credential": "NHA-PBT"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ovalle Mobile Medical, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Optical Concepts of Rockland Inc (Sterling Optical)
• Erin Orfini
• Jennifer Orlowski
• Beatrice Osei
• Paul Robert Ostroy, M.D.
• Fazeila Ovalle, PBT
• Luigi Pagan
• Christine Pagliaro
• Steven Paglierani, LCSW CASAC
• Melanie Paige, MD

• Phlebotomy Technician in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Phlebotomy Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.