Organization Active NPI

Venerando Valencia M.D. P.C.

  • Specialist
  • Staten Island, NY
National Provider Identifier
1992984132
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
144877 Issued in NY
Legal business name
VENERANDO VALENCIA M.D. P.C.
Practice address
4131 Richmond Ave
Staten Island, NY 10312-5633
Phone
(718) 227-1340
NPI assigned
Oct 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Dr. Venerando Valencia, MEDICAL DOCTOR
Title
Doctor
Phone
(718) 227-1340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 144877 NY Primary

Addresses

Primary practice location

4131 Richmond Ave
Staten Island, NY 10312-5633

Mailing address

4131 Richmond Ave
Staten Island, NY 10312-5633
Phone (718) 227-1340

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1992984132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125633",
            "telephone_number": "718-227-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125633",
            "telephone_number": "718-227-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENERANDO VALENCIA M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "VENERANDO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-227-1340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "144877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.