Individual provider Active NPI

Robert J Valenzuela, MD

  • Urology Physician
  • New York, NY
National Provider Identifier
1962400879
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
203681-1 Issued in NY
Practice address
286 Fort Washington Ave
New York, NY 10032-1315
Phone
(212) 781-9697
Fax
(212) 568-7138
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 203681-1 NY Primary

Addresses

Primary practice location

286 Fort Washington Ave
New York, NY 10032-1315

Mailing address

286 Fort Washington Ave
New York, NY 10032-1315
Phone (212) 781-9697

Other identifiers 1

IdentifierTypeStateIssuer
01873601MedicaidNY

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
I20041124000821 NY Practitioner - Urology 3274598685 Reassigns benefits to 4 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Icahn School of Medicine at Mount Sinai, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore Hematology Oncology Associates PCGroup PAC ID 1456243641, 474 clinicians

Practice addresses (Care Compare)

2330 Eastchester Rd
Bronx, NY 10469-5930
Phone (631) 751-3000

365 E Main St
Patchogue, NY 11772-3145
Phone (631) 751-3000

48 Route 25a
Smithtown, NY 11787-1431
Phone (631) 751-3000

Hospital & facility affiliations

  • Mount Sinai West Hospital, New York, NY, CCN 330046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203681-1NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medalliance Medical Health Services Inc CurrentSince Jul 3, 2011 Accepting new patients
Icahn School of Medicine at Mount Sinai Urology CurrentSince Jun 1, 2017 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 1, 2017 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Jul 1, 2023 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
North Shore Hematology Oncology Associates PC Past Accepting new patients
Advanced Urology, P.C. Past Accepting new patients
Washington Heights Urology Urology Past Accepting new patients
Washington Heights Urology PC Urology Past Accepting new patients
Ann M Woo, M.D.,P.C. Past Accepting new patients

Locations

2330 Eastchester Rd
Bronx, NY 10469
Phone (718) 228-0063

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

160 E 32nd St
Ste 101
New York, NY 10016
Phone (212) 481-8118

286 Fort Washington Ave
Apt 1A
New York, NY 10032
Phone (212) 781-9696

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962400879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321315",
            "telephone_number": "212-781-9697",
            "fax_number": "212-568-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 FORT WASHINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321315",
            "telephone_number": "212-781-9697",
            "fax_number": "212-568-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "203681-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01873601",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.