Provider Demographics
NPI:1972019008
Name:DEGIROLAMO, VALERIE ROSE (NP)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:ROSE
Last Name:DEGIROLAMO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:VALERIE
Other - Middle Name:ROSE
Other - Last Name:MOLINARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2 PARAGON WAY STE 800
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-9573
Mailing Address - Country:US
Mailing Address - Phone:732-393-8391
Mailing Address - Fax:732-308-4500
Practice Address - Street 1:2 PARAGON WAY STE 800
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-9573
Practice Address - Country:US
Practice Address - Phone:732-393-8391
Practice Address - Fax:732-308-4500
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-27
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY703950163W00000X
NJ26NR18299400163W00000X
NYF403796-01363LP0808X
NJ26NJ01344300363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2997157Medicaid