Jaclyn Valdes, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

26NJ00586900 Issued in NJ

Practice address

40 Essex St
Belleville, NJ 07109-2604

Phone

(201) 481-1954

NPI assigned

Oct 13, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Jersey Spine and Pain Institute ,LLCGroup PAC ID 3779688478, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• New Jersey Spine and Pain Institute LLC

  • Pain Clinic/Center
  • Bayonne, NJ
  • NPI 1972630788
  Medicare reassignment Care Compare group NPD
• BHMG - United Medical

  • Internal Medicine Physician
  • Lyndhurst, NJ
  • NPI 1639594377
  Medicare reassignment NPD

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1982075255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ESSEX ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092604",
            "telephone_number": "201-481-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ESSEX ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092604",
            "telephone_number": "201-481-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "JACLYN",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00586900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erol Ulker, MD
• Unicare Pharmacy
• Yrma Patricia Uribe Ybanez
• Urology Consultants PA
• Judalyn Kaye Blanco Uy, PT
• Erika Vallila, LPC
• Antoinette G Valvano
• Danielle Vanbeuzekom, PT
• Hemalatha Vasireddy, MD
• Arianna L Vega

• Nurse Practitioner in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.