REGGIE DONALD VALDEMAR PHMNP
NPI 1285374660
Nurse Practitioner - Psychiatric/Mental Health in Ronkonkoma, NY

Q: What is Reggie Valdemar's NPI number?

The NPI number for Reggie Valdemar is 1285374660. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Q: What is Reggie Valdemar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Reggie Valdemar was last updated on December 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 31, 2022PECOS Enrolled

153 LAKE SHORE RD, RONKONKOMA, NY 11779(111) 111-1111 Get Directions Write a Review

NPPES record last updated: December 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Reggie Donald Valdemar Phmnp NPPES

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

REGGIE DONALD VALDEMAR PHMNP (NPI 1285374660) is an individual psychiatric/mental health provider in Ronkonkoma, New York, licensed in New York (404034) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Deer Park.

NPPES Registry Identity

NPI1285374660

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameREGGIE DONALD VALDEMARCredential: PHMNP

Location Address153 LAKE SHORE RDRonkonkoma, NY 11779-3157

Mailing Address7 Oak Park CtDeer Park, NY 11729-5607 · (631) 565-3480

Phone(111) 111-1111

Sole ProprietorYes

Enumeration DateMarch 31, 2022

Last NPPES UpdateDecember 26, 2022

NPPES CertifiedDecember 26, 2022

✔ NPI 1285374660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 404034

153 LAKE SHORE RD, Ronkonkoma, NY 11779

Open in Google Maps ↗

Secondary Practice Location 1

Location 17 Oak Park CtDeer Park, NY 11729-5607 · Phone (631) 565-3480

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reggie Donald Valdemar Phmnp 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 11779 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 7

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

MS. MICHELE ANN KELLY CPNP NPP

Nurse Practitioner

153 LAKE SHORE RD, PHOENIX HOUSE MEDICAL DEPT
RONKONKOMA, NY 11779

Suffolk County (631) 471-5666

ALTAGRACE GILBERT BLANCHARD

Licensed Practical Nurse