| Kemberley Gicella Valderrama, CNM | |
|
95 N State Rt 17 Ste 105, Paramus, NJ 07652-2648 | |
| (201) 612-4737 | |
| Not Available |
| Full Name | Kemberley Gicella Valderrama |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 95 N State Rt 17 Ste 105, Paramus, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104670470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | (NU) | Primary |
| 176B00000X | Midwife | (NU) | Secondary |
| Entity Name | Valley Physician Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824 |
| Mailing Address | Practice Location Address |
|---|---|
| Kemberley Gicella Valderrama, CNM 425 Marlboro Rd, Englewood, NJ 07631-1415 Ph: (201) 921-5419 | Kemberley Gicella Valderrama, CNM 95 N State Rt 17 Ste 105, Paramus, NJ 07652-2648 Ph: (201) 612-4737 |
Casey Lynn Morris, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 95 Route 17 South, Suite 105, Paramus, NJ 07652 Phone: 201-612-4737 Fax: 201-746-9560 |
Mrs. Leslie Joy Rebarber, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 15 Essex Rd, Paramus, NJ 07652 Phone: 201-291-6091 Fax: 201-291-6318 |