Healthcare Provider Details

I. General information

NPI: 1003780156
Provider Name (Legal Business Name): VALERIE LYNN RUBERTO PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 RAMAPO VALLEY RD STE 203B
OAKLAND NJ
07436-2716
US

IV. Provider business mailing address

410 RAMAPO VALLEY RD STE 203B
OAKLAND NJ
07436-2716
US

V. Phone/Fax

Practice location:
  • Phone: 201-907-7915
  • Fax: 201-502-4881
Mailing address:
  • Phone: 201-907-7915
  • Fax: 201-502-4881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number26NR24981000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15627900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: