MR. PETER JOSEPH VALASTRO JR. NP
NPI 1811529415
Nurse Practitioner - Psychiatric/Mental Health in Queensbury, NY

Active since February 11, 2020Opted out of Medicare · through Jul 13, 2027
37 EVERTS AVE, QUEENSBURY, NY 12804(518) 793-4700(518) 793-6325 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2022, Jun 10, 2021, Feb 11, 2020 (3 updates tracked since 2020).

About Mr. Peter Joseph Valastro Jr. Np NPPES

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

MR. PETER JOSEPH VALASTRO JR. NP (NPI 1811529415) is an individual psychiatric/mental health provider in Queensbury, New York, licensed in New York (F403526-01) and active in the NPI registry since February 2020. He has opted out of Medicare through July 13, 2027 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811529415
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. PETER JOSEPH VALASTRO JR.Credential: NP
Location Address37 EVERTS AVEQueensbury, NY 12804-2040
Mailing AddressPo Box 4705Queensbury, NY 12804-0705 · (518) 245-3837 · Fax (518) 899-4930
Fax(518) 793-6325
Sole ProprietorYes
Enumeration DateFebruary 11, 2020
Last NPPES UpdateMarch 7, 20223 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
NPI 1811529415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in NY · F403526-01 Licensed in NY · 403526
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 704435 (NY)
37 EVERTS AVE, Queensbury, NY 12804

Secondary Practice Locations 2

Location 1123 Dixon RdQueensbury, NY 12804-2133 · Phone (518) 245-3837 · Fax (518) 245-3840
Location 263 Franklin StSaratoga Spgs, NY 12866-3023 · Phone (518) 636-5284

Other Identifiers 1

Medicaid06428115NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mr. Peter Joseph Valastro Jr. Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 13, 2021 through July 13, 2027.

Opt-Out Effective DateJuly 13, 2021
Opt-Out In Effect ThroughJuly 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

Clinic/Center (Developmental Disabilities)
37 EVERTS AVE
GLENS FALLS, NY 12804
Nurse Practitioner (Psychiatric/Mental Health)
37 EVERTS AVE
GLENS FALLS, NY 12804
Occupational Therapist
37 EVERTS AVE
GLENS FALLS, NY 12804
Physical Therapy Assistant
37 EVERTS AVE
GLENS FALLS, NY 12804
Occupational Therapist
37 EVERTS AVE
GLENS FALLS, NY 12804
Nurse Practitioner
37 EVERTS AVE
GLENS FALLS, NY 12804
Occupational Therapist
37 EVERTS AVE
QUEENSBURY, NY 12804
Speech-Language Pathologist
37 EVERTS AVE
GLENS FALLS, NY 12804

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 Peter Valastro's NPI number?

The NPI number for Peter Valastro is 1811529415. It was assigned to this individual provider in the NPPES registry on February 11, 2020.

Where is Peter Valastro located?

Peter Valastro practices at 37 Everts Ave, Queensbury, NY 12804. The listed phone number is (518) 793-4700.

What is Peter Valastro's specialty?

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

Is Peter Valastro enrolled in Medicare?

No. Peter Valastro has opted out of Medicare through July 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Peter Valastro was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.