Provider Demographics
NPI:1417133356
Name:VALLEY HOSPITAL
Entity Type:Organization
Organization Name:VALLEY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE-MIDWIFE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:REBARBER
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:201-291-6321
Mailing Address - Street 1:15 ESSEX RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1451
Mailing Address - Country:US
Mailing Address - Phone:201-291-6321
Mailing Address - Fax:201-291-6318
Practice Address - Street 1:15 ESSEX RD
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1451
Practice Address - Country:US
Practice Address - Phone:201-291-6321
Practice Address - Fax:201-291-6318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00030501261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center