DR. VALENTIN PARDO JOVELLANOS (NPI# 1043428204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043428204 |
| Entity Type | Individual |
| Full Name | DR. VALENTIN PARDO JOVELLANOS |
| Credential | M.D. |
| Practice Address |
20 Sherman Ave New York NY 10040-1654 |
| Mailing Address |
55 Sunset Rd Blauvelt NY 10913-1331 |
| Practice Telephone | 2125671030 |
| Practice Fax Number | 2125670977 |
| Mailing Telephone | 8456137049 |
| Mailing Fax Number | 2125670977 |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
221990 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02177484 | 05 |
| Street Address |
20 SHERMAN AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10040-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922550854 | Dahina Tavarez | Social Worker | 607w 190th St Apt 2d, New York, NY 10040 | 2016-10-26 |
| 1518418011 | Andres M. Pereira M.d.p.c. | Family Medicine | 47 Sickles St Suite 1a, New York, NY 10040 | 2016-10-19 |
| 1003281692 | Sandra Feliz | Specialist | 34 Bogardus Place Apt 2a, New York, NY 10040 | 2015-12-08 |
| 1790179562 | G Home Companion Services, Inc. | In Home Supportive Care | 25 Nagle Ave Apt # 5a, New York, NY 10040 | 2015-03-19 |
| 1669810503 | Sandra I. Morban | Licensed Practical Nurse | 45 Thayer St. #5g, New York, NY 10040 | 2013-06-13 |
| 1679814248 | Zheng Zhou | Psychologist | 340 Cabrini Blvd, Apt 203, New York, NY 10040 | 2013-03-07 |
| 1710253323 | Miriam P Bacon | Physical Therapist | 12-18 Ellwood Street, New York, NY 10040 | 2012-03-28 |
| 1730455593 | Alyssa Marie Corr | Occupational Therapist | 1218 Ellwood Street, Ny, NY 10040 | 2012-03-27 |
| 1801160254 | Claire Gordon | Speech-Language Pathologist | 802 West 190 St., #2-g, New York, NY 10040 | 2012-03-02 |
| 1548542483 | Samuel Emerson Carlisle | Social Worker | 4530 Broadway 4e, New York, NY 10040 | 2011-09-16 |
| Find all providers in zip 10040 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346549128 | Risa Laurel Fridy | Pediatrics | 14 E 90th St # 1b, New York, NY 10128-0671 | 2011-03-20 |
| 1275766578 | Susan Spear | Pediatrics | 225 W 83rd St Apt 14f, New York, NY 10024-4960 | 2009-09-02 |
| 1952554404 | Lawrence Christopher Sullivan | Pediatrics | 346 W 22nd St Apt 3, New York, NY 10011-2670 | 2008-10-28 |
| 1336366756 | Dilia M Castanos | Pediatrics | 616 W 184th St, New York, NY 10033-3908 | 2007-04-19 |
| 1285768622 | Michael Rosenbaum | Pediatrics | 450 West End Avenue, Suite #1e, New York, NY 10024 | 2007-03-16 |
| 1275687444 | Diane Stumpf-koster | Pediatrics | 600 W 168th St, New York, NY 10032-3722 | 2007-01-23 |
| 1457405995 | Flor S De La Cadena | Pediatrics | 160 Wadsworth Ave, Suite #1, New York, NY 10033-3821 | 2007-01-22 |
| 1730239948 | Luis Cesar Ninaortega | Pediatrics | 23 East 10 St. Apt. 216, Apt. 216, New York, NY 10003 | 2007-01-11 |
| 1417015116 | Lara Gordon | Pediatrics | 215 E 79th St, New York, NY 10021-0847 | 2006-12-05 |
| 1245398833 | Sofia A. De La Cruz | Pediatrics | 560 W 175th St, New York, NY 10033-8031 | 2006-12-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.