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JOSE DARIO OVALLE PA
NPI 1013124627
Physician Assistant in Corona, NY

Active since May 16, 2007
102 11 ROOSEVELT AVE., CORONA, NY 11368(717) 898-5200(718) 898-3673 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jose Dario Ovalle Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE DARIO OVALLE PA (NPI 1013124627) is an individual physician assistant in Corona, New York, licensed in New York (009185) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1013124627
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSE DARIO OVALLECredential: PA
Location Address102 11 ROOSEVELT AVE.Corona, NY 11368-2331
Mailing Address102 -11 Roosevelt Ave.Corona, NY 11368-2331 · (718) 989-5200 · Fax (718) 898-3673
Phone(717) 898-5200
Fax(718) 898-3673
Sole ProprietorNo
Enumeration DateMay 16, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1013124627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 009185
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
102 11 ROOSEVELT AVE., Corona, NY 11368
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Other Identifiers 1

Medicaid02830239NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Ovalle's NPI number?

The NPI number for Jose Ovalle is 1013124627. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Jose Ovalle located?

Jose Ovalle practices at 102 11 Roosevelt Ave., Corona, NY 11368. The listed phone number is (717) 898-5200.

What is Jose Ovalle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jose Ovalle was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.