Active NPIIndividual provider

John-Eric Vallarta, CRNA

Nurse Anesthetist, Certified Registered in Montclair, New Jersey

NPI Number1497781140
Practice location
1 Bay Avenue, Mountainside Medical Center, Montclair, NJ 07042
Fax
—
Last updated
October 19, 2022

John-Eric Vallarta is a Nurse Anesthetist, Certified Registered based in Montclair, NJ. John-Eric Vallarta practices in Montclair, NJ and has the professional credentials of CRNA. The NPI Number for John-Eric Vallarta is 1497781140 and holds a License No. 26N011136700 (NJ). The current practice location address for John-Eric Vallarta is 1 Bay Avenue, Mountainside Medical Center, Montclair, NJ 07042 and can be reached out via phone at 973-429-6000.

Provider Profile Details

NPI Number
1497781140
Provider Name
John-Eric Vallarta
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
1 Bay Avenue, Mountainside Medical Center, Montclair, NJ 07042
Phone Number
973-429-6000
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
June 24, 2006
Last Update Date
October 19, 2022
Certification Date
October 11, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Bay Avenue
Mountainside Medical Center
Montclair, NJ 07042
Zip
07042
Phone Number
973-429-6000
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
8 Pine Tree Dr
Wayne, NJ 07470-5426
City
Wayne
State
NJ
Zip
07470-5426
Phone Number
732-236-1772

License Information

License Number (1)
26N011136700
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
5116a
License State (2)
KY
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X
License Number (3)
26NJ00341600
License State (3)
NJ
Taxonomy (3)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of John-Eric Vallarta, CRNA?

The NPI number of John-Eric Vallarta, CRNA is 1497781140. It was assigned on June 24, 2006 and is currently active in the NPPES registry.

What is the specialty of John-Eric Vallarta, CRNA?

John-Eric Vallarta, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NJ under license number 26N011136700.

Where does John-Eric Vallarta, CRNA practice?

The practice location is 1 Bay Avenue, Mountainside Medical Center, Montclair, NJ 07042. The office can be reached at 973-429-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497781140 directly on the NPPES registry website.

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