YOSLEISY VALDES HERNANDEZ MD
NPI 1053871400
Internal Medicine in Berkeley Heights, NJ

Q: What is Yosleisy Valdes Hernandez's NPI number?

The NPI number for Yosleisy Valdes Hernandez is 1053871400. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Q: What is Yosleisy Valdes Hernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment

1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922(866) 396-9344(908) 830-0920 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2024, Sep 26, 2022, Mar 21, 2019 (3 updates tracked since 2019).

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About Yosleisy Valdes Hernandez Md NPPES

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

YOSLEISY VALDES HERNANDEZ MD (NPI 1053871400) is an individual internal medicine provider in Berkeley Heights, New Jersey, licensed in New Jersey (25MA11516800) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1053871400

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameYOSLEISY VALDES HERNANDEZCredential: MD

Location Address1 DIAMOND HILL RDBerkeley Heights, NJ 07922-2104

Mailing Address123 Highland Ave Ste 201Glen Ridge, NJ 07028-1522 · (862) 333-4700 · Fax (973) 429-6209

Phone(866) 396-9344

Fax(908) 830-0920

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 21, 2019

Last NPPES UpdateJuly 23, 20243 updates tracked since enumeration

NPPES CertifiedJuly 23, 2024

✔ NPI 1053871400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MA11516800

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 25MA11516800 (NJ)

1 DIAMOND HILL RD, Berkeley Heights, NJ 07922

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yosleisy Valdes Hernandez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618366204

PECOS Enrollment IDI20221011000271

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Yosleisy Valdes Hernandez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Group PA

Same address

Multi-Specialty

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922

Reassigned Medicare billing, New Jersey enrollment
1,184 clinicians in this Medicare group

NPI 1942254347 (908) 273-4300

Montclair Hospital LLC

14 mi

Primary Care

1 BAY AVE
Montclair, NJ 07042

Reassigned Medicare billing, New Jersey enrollment
9 clinicians in this Medicare group

NPI 1487802930 (973) 429-6196

Yvhh Limited Liability Company

17 mi

Internal Medicine

402 FOREST AVE
Lyndhurst, NJ 07071

Reassigned Medicare billing, New Jersey enrollment

NPI 1497548499 (201) 699-2008

Passaic Hospitalist Services, LLC

20 mi

Hospitalist

703 MAIN ST
Paterson, NJ 07503

Reassigned Medicare billing, New Jersey enrollment
78 clinicians in this Medicare group

NPI 1144903733 (973) 754-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

500 services161 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

140 services127 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

120 services112 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

29 services29 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310001

Location30 Prospect AveHackensack, NJ 07601 · Bergen County

Emergency services Birthing friendly

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ

2/5 CMS rating

OwnershipProprietary

CMS Certification Number310054

Location1 Bay AvenueMontclair, NJ 07042 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07922 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SILPA GADIRAJU M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DR. JOHN H DOKKO DO

Internal Medicine (Nephrology)

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DENISE RIZZOLO PA

Physician Assistant

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

MARIA F DOMINGUEZ BERMEO MD

Family Medicine

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 219-6940

DR. LAWRENCE J NASTRO MD

Internal Medicine (Infectious Disease)

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

DEBRA A RYAN PT

Physical Therapist

1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 07922

Union County (908) 273-4300

CHRISTOPHER M BONI DO

Internal Medicine

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8683

LAUREN BARON P.A.

Physician Assistant (Medical)

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

Union County (908) 277-8880

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 Yosleisy Valdes Hernandez's NPI number?

The NPI number for Yosleisy Valdes Hernandez is 1053871400. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Yosleisy Valdes Hernandez located?

Yosleisy Valdes Hernandez practices at 1 Diamond Hill Rd, Berkeley Heights, NJ 07922. The listed phone number is (866) 396-9344.

What is Yosleisy Valdes Hernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Yosleisy Valdes Hernandez enrolled in Medicare?

Yes. Yosleisy Valdes Hernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Yosleisy Valdes Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yosleisy Valdes Hernandez reassigns Medicare benefits to 4 organizations: Summit Medical Group PA (Berkeley Heights, NJ), Montclair Hospital LLC (Montclair, NJ), Yvhh Limited Liability Company (Lyndhurst, NJ) and Passaic Hospitalist Services, LLC (Paterson, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yosleisy Valdes Hernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yosleisy Valdes Hernandez accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Yosleisy Valdes Hernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Yosleisy Valdes Hernandez affiliated with any hospitals?

According to CMS data, Yosleisy Valdes Hernandez is affiliated with Hackensack University Medical Center and Hackensack Meridian Health, Mountainside Medical.

When was this NPI record last updated?

The NPPES record for Yosleisy Valdes Hernandez was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.