MEDICARE: JULIA MARIE VALKOS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant
2	363A00000X	Physician Assistant	25MP00889700	NJ

General Provider Information

NPI Number	:	1316627748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA MARIE VALKOS PA-C

Provider Business Mailing Address
First Line	:	331 NEWMAN SPRINGS RD STE 220
Second Line	:
City	:	RED BANK
State	:	NJ
Zip	:	07701-5792
Country	:	US
Telephone Number	:	732-807-0877
Fax Number	:	201-751-1680

Provider Business Practice Location Address
First Line	:	525 JACK MARTIN BLVD STE 340
Second Line	:
City	:	BRICK
State	:	NJ
Zip	:	08724-7737
Country	:	US
Telephone Number	:	732-836-1500
Fax Number	:	732-746-3170

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2023
Last Update Date	:	01/06/2026

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