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Jeremy Val Jovellanos

Pediatrics

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as JEREMY JOVELLANOS.

Based on the most recent information from CMS, provider Jeremy Val Jovellanos is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1639632953
Provider Type
Individual
Full Name
Jovellanos, Jeremy Val
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/12/2019
Last Updated
12/6/2024

Contact Information

Practice Location

1000 10th Ave, New York, NY 10019-1147

(212) 523-4000

Unlisted Fax

Mailing Location

175 E 96th St Apt 30l, New York, NY 10128-6215

(917) 301-4683

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License 318038 New York
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Jeremy Val Jovellanos

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Baron, Aimee Jenna

Figueroa, Silkia Mercedes

Shah, Rozana

Linday, Linda Anne

Laserna, Charlyn Marie

Varma, Melissa Jayne

Goldman, Gilbert

Nelson, Sabina

Robles, Antonette

Dandamudi Patcha, Suparna