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STEPHANIE VALLADARES PA
NPI 1104110345
Physician Assistant in Queens Village, NY

Active since June 06, 2011PECOS Enrolled
9001 221ST PL, QUEENS VILLAGE, NY 11428(917) 385-0041 Get Directions Write a Review

NPPES record last updated: June 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Valladares Pa NPPES

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

STEPHANIE VALLADARES PA (NPI 1104110345) is an individual physician assistant in Queens Village, New York, licensed in New York (014739) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104110345
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHANIE VALLADARESCredential: PA
Location Address9001 221ST PLQueens Village, NY 11428-1314
Mailing Address9001 221st PlQueens Village, NY 11428-1314 · (917) 385-0041
Phone(917) 385-0041
Sole ProprietorNo
Enumeration DateJune 6, 2011
✔ NPI 1104110345 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 · 014739
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.
9001 221ST PL, Queens Village, NY 11428
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Valladares Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11428 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Stephanie Valladares's NPI number?

The NPI number for Stephanie Valladares is 1104110345. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Where is Stephanie Valladares located?

Stephanie Valladares practices at 9001 221st Pl, Queens Village, NY 11428. The listed phone number is (917) 385-0041.

What is Stephanie Valladares's specialty?

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

Is Stephanie Valladares enrolled in Medicare?

Yes. Stephanie Valladares is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephanie Valladares was last updated on June 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.