Individual provider Active NPI

Maximo B. Valero Jr., MD

  • General Practice Physician
  • Troy, NY
National Provider Identifier
1942415443
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
121884 Issued in NY
Practice address
85 Bloomingrove Dr
Troy, NY 12180-8552
Phone
(518) 283-2000
Fax
(518) 283-4118
NPI assigned
May 10, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 121884 NY Primary

Addresses

Primary practice location

85 Bloomingrove Dr
Troy, NY 12180-8552

Mailing address

85 Bloomingrove Dr
Troy, NY 12180-8552
Phone (518) 283-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050809000784 NY Practitioner - OtolaryngologyPractitioner - General Practice 7911936018 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
121884NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rensselaer County Bureau of Finance CurrentSince Jul 1, 2005 Accepting new patients
Hospitalist Healthcare Services PLLC Current Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Jul 29, 2015 Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince Jul 29, 2015 Accepting new patients
Rensselaer County Bureau of Finance CurrentSince Jul 1, 2005 Accepting new patients
Arbind Kumar Medical Services, PC Past Accepting new patients
R.G. Psychological Services, P.C. Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

6411 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-7010

820 Albany Shaker Rd
Loudonville, NY 12211
Phone (518) 869-2231

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

59 Hetcheltown Rd
Scotia, NY 12302
Phone (518) 384-3600

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

85 Bloomingrove Dr
Troy, NY 12180
Phone (212) 851-8100

100 Lake Rd
Vly Cottage, NY 10989
Phone (845) 268-6813

Organizations & group practices 7

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942415443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BLOOMINGROVE DR",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121808552",
            "telephone_number": "518-283-2000",
            "fax_number": "518-283-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BLOOMINGROVE DR",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121808552",
            "telephone_number": "518-283-2000",
            "fax_number": "518-283-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERO",
        "first_name": "MAXIMO",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "121884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.