DR. GRIGORY JACOB VALDBERG M.D. NPI 1790846046

NPI Information

  • NPI: 1790846046
  • Provider Name: DR. GRIGORY JACOB VALDBERG, M.D.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 1410 W 3RD ST
    BROOKLYN, NY
    ZIP 11204
  • Phone: (718) 837-1031

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NPI Details

DR. Grigory Jacob Valdberg, M.D. is a primary care clinic center in Brooklyn, NY. DR. Grigory Jacob Valdberg, M.D. NPI is 1790846046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1410 W 3RD ST
BROOKLYN, NY
ZIP 11204-101
Phone: (718) 837-1031
Fax: (718) 837-1671

The enumeration date for this NPI number is 12/12/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care202572NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10B7301OTHERNEW YORKEMPIRE
212-01328OTHERNEW YORKUHC
3PC2348OTHERNEW YORKCENTER CARE
45026928OTHERNEW YORKCIGNA
50P555POTHERNEW YORKHIP
62699905OTHERNEW YORKGHI
7P1046880OTHERNEW YORKOXFORD
826P3881OTHERNEW YORKPRESBYTERIAN
95251450OTHERNEW YORKAETNA
10137072OTHERNEW YORKWELL CARE
11BK0214503OTHERNEW YORKAMERICHOICE
12G36819MEDICARE UPINNEW YORK
13202572OTHERNEW YORKLICENSE
14202572-C79OTHERNEW YORKHEALTH FIRST
15000000050434OTHERNEW YORKGHI HMO
162C8442OTHERNEW YORKNELTH NET
1701648975MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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