Healthcare Provider Details
I. General information
NPI: 1659207215
Provider Name (Legal Business Name): VALERA MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
900 AVE AT PORT IMPERIAL BLVD
WEEHAWKEN NJ
07086-6101
US
IV. Provider business mailing address
900 AVE AT PORT IMPERIAL BLVD
WEEHAWKEN NJ
07086-6101
US
V. Phone/Fax
- Phone: 347-907-3191
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SAGY
GRINBERG
Title or Position: PRESIDENT
Credential: MD
Phone: 347-907-3191