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MISS JENNIFER VALLADARES RPA-C
NPI 1366584633
Physician Assistant in Brooklyn, NY

Active since February 13, 2007
827 PROSPECT PL, BROOKLYN, NY 11216(917) 716-3810 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 28, 2019, Jun 20, 2018 (2 updates tracked since 2018).

About Miss Jennifer Valladares Rpa-c NPPES

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

MISS JENNIFER VALLADARES RPA-C (NPI 1366584633) is an individual physician assistant in Brooklyn, New York, licensed in California (54334) and active in the NPI registry since February 2007. She maintains a secondary practice location in Ontario.

NPPES Registry Identity

NPI1366584633
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS JENNIFER VALLADARESCredential: RPA-C
Location Address827 PROSPECT PLBrooklyn, NY 11216-4074
Mailing Address827 Prospect PlBrooklyn, NY 11216-4074 · (917) 716-3810
Phone(917) 716-3810
Sole ProprietorNo
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJanuary 13, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1366584633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 54334
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 0060129-1 (NY)
827 PROSPECT PL, Brooklyn, NY 11216
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Secondary Practice Location 1

Location 13401 Centre Lake Dr Ste 470Ontario, CA 91761-1254 · Phone (909) 566-0445

Other Identifiers 2

Other54334CA · Ca State License Number
Other006129-1NY · Ny State License Number

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 Jennifer Valladares's NPI number?

The NPI number for Jennifer Valladares is 1366584633. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Jennifer Valladares located?

Jennifer Valladares practices at 827 Prospect Pl, Brooklyn, NY 11216. The listed phone number is (917) 716-3810.

What is Jennifer Valladares'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 Jennifer Valladares was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.