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Irene Vallejo

NPI 1003723909ActiveIndividual· Specialist· Ridgewood, NY

Specialist in Ridgewood, New York, licensed in NY, with an NPI issued in August 2026.

Overview

NPI1003723909
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedAug 26, 2026
Last updated in NPPESAug 26, 2026
Certified by providerAug 26, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X2537671NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Specialist providers in Ridgewood

All 32 Specialist providers in Ridgewood · All Specialist providers in New York