Healthcare Provider Details

I. General information

NPI: 1427571058
Provider Name (Legal Business Name): MINDY VALENTI NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 GRAND AVE STE 435
ENGLEWOOD NJ
07631-3565
US

IV. Provider business mailing address

12 HOCKEBORNE AVE
AUBURN NY
13021-4218
US

V. Phone/Fax

Practice location:
  • Phone: 201-785-7431
  • Fax: 201-266-3545
Mailing address:
  • Phone: 315-730-9887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF342056-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: