MR. JORDAN JAMES VALLESE (NPI# 1760713929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760713929 |
| Entity Type | Individual |
| Full Name | MR. JORDAN JAMES VALLESE |
| Credential | PA |
| Practice Address |
3424 Kossuth Avenue Room 9c - 01 Bronx NY 10467 |
| Mailing Address |
3424 Kossuth Ave Bronx NY 10467-2410 |
| Practice Telephone | 7185193972 |
| Mailing Telephone | 7185193972 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
013839 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3424 KOSSUTH AVENUE ROOM 9C - 01 |
| City | BRONX |
| State | NY |
| Zip Code | 10467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861554495 | Calvin Hwang | Internal Medicine | 3424 Kossuth Avenue, Dept. of Medicine, 9c-01, Bronx, NY 10467 | 2006-12-13 |
| 1952915043 | Nicole Elizabeth Da Silva | Psychologist | 3424 Kossuth Avenue, Behavioral Health Outpatient Clinic, 4b, Bronx, NY 10467 | 2020-09-04 |
| 1336639517 | Shamai Kurbitaeva | Student in an Organized Health Care Education/Training Program | 3424 Kossuth Avenue, 9c-01, Bronx, NY 10467 | 2018-05-14 |
| 1326389016 | North Central Bronx Hospital | Clinic/Center | 3424 Kossuth Avenue, Room 3a Medicine, Bronx, NY 10467 | 2013-03-06 |
| 1720367485 | Man Nga Carmen Chow | Pharmacist | 3424 Kossuth Avenue, Bronx, NY 10467-3138 | 2011-08-12 |
| 1568740199 | Desiree Bloom Lindsay | Nurse Practitioner | 3424 Kossuth Avenue, Bronx, NY 10467 | 2011-08-01 |
| 1285937433 | Lorraine Adler | Social Worker | 3424 Kossuth Avenue, 14a04, Bronx, NY 10464 | 2010-12-09 |
| 1174824684 | Elizabeth Rose Krische | Physician Assistant | 3424 Kossuth Avenue, Bronx, NY 10467 | 2010-11-15 |
| 1124345913 | Susan Lee Mayer | Registered Nurse | 3424 Kossuth Avenue, North Central Bronx Hospital, Bronx, NY 10467 | 2010-05-03 |
| 1205093929 | Sol Lissette Rodriguez Medina | Psychiatry & Neurology | 3424 Kossuth Avenue, Bronx, NY 10467 | 2008-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568006682 | Walces Castelly | Physician Assistant | 860 Grand Concourse Apt 1l, Bronx, NY 10451-2815 | 2019-10-31 |
| 1447815949 | Shadman Emrose Noshin | Physician Assistant | 2843 Dudley Ave Fl 2, Bronx, NY 10461-5609 | 2019-05-09 |
| 1275024952 | Barbara Hoffman | Physician Assistant | 1017 Burke Ave, Bronx, NY 10469-3803 | 2018-05-29 |
| 1154791473 | Edelmys Suncar | Physician Assistant | 1150 Webster Ave, Bronx, NY 10456-5205 | 2015-09-29 |
| 1083096697 | Victoria Owusuaa | Physician Assistant | 2334 Tiebout Ave, Apt # 4e, Bronx, NY 10458-7310 | 2015-06-19 |
| 1093102865 | Rlb Alternative Care Inc | Physician Assistant | 574 E 170th St, C/o Ricardo L. Baez, Bronx, NY 10456-2304 | 2015-04-20 |
| 1235532078 | Ethan Searles | Physician Assistant | 91 Poplar Ave, Bronx, NY 10465-3943 | 2014-10-08 |
| 1053713164 | Pranvera Dervishi | Physician Assistant | 1334 Astor Ave, Pvh 2nd Floor, Bronx, NY 10469-5832 | 2014-09-19 |
| 1588934814 | Melinda Jimenez | Physician Assistant | 2306 Walton Ave, Bronx, NY 10468-7102 | 2012-01-03 |
| 1194094300 | Ayisha Munawar | Physician Assistant | 285 E 171st St, Bronx, NY 10457-8939 | 2011-12-16 |
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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.